Organization Active NPI

Darren M Brown OD Apc

  • Corneal and Contact Management Optometrist
  • Tustin, CA
National Provider Identifier
1922055458
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
12550T Issued in CA
Legal business name
DARREN M BROWN OD APC
Practice address
190 El Camino Real
Tustin, CA 92780-3602
Phone
(714) 669-1121
Fax
(714) 669-9786
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Dr. Darren Michael Brown, O.D.NPI 1073562740
Title
Owner
Phone
(714) 669-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 12550T CA Primary

Addresses

Primary practice location

190 El Camino Real
Tustin, CA 92780-3602

Mailing address

190 El Camino Real
Tustin, CA 92780-3602
Phone (714) 669-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060626000084 CA Part B Supplier - Clinic/Group Practice 4082626601 Receives reassigned benefits from 2 practitioners
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

4537 Campus Dr
Irvine, CA 92612
Phone (949) 854-2020

190 El Camino Real
Tustin, CA 92780
Phone (714) 669-1121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1922055458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803602",
            "telephone_number": "714-669-1121",
            "fax_number": "714-669-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803602",
            "telephone_number": "714-669-1121",
            "fax_number": "714-669-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN M BROWN OD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-669-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12550T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.