Organization Active NPI

David T. Brown, O.D.

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1912221961
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5376T2287 Issued in OH
Legal business name
DAVID T. BROWN, O.D.
Practice address
217 Delano Ave Ste D
Chillicothe, OH 45601-2276
Phone
(740) 772-1105
Fax
(740) 772-1105
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dusti Sheets
Title
Office Manager
Phone
(740) 772-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5376T2287 OH Primary

Addresses

Primary practice location

217 Delano Ave Ste D
Chillicothe, OH 45601-2276

Mailing address

217 Delano Ave Ste D
Chillicothe, OH 45601-2276
Phone (740) 772-1105

Other identifiers 2

IdentifierTypeStateIssuer
3028262MedicaidOH
1396719720OtherOHMEDICAL MUTUAL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1912221961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DELANO AVE STE D",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012276",
            "telephone_number": "740-772-1105",
            "fax_number": "740-772-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DELANO AVE STE D",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012276",
            "telephone_number": "740-772-1105",
            "fax_number": "740-772-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T. BROWN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "DUSTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-772-1105"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5376T2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3028262",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "1396719720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.