Nichole Yvonne Brown, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3321 Issued in FL

Practice address

4605 US Highway 17 Ste 1
Fleming Island, FL 32003-4829

Phone

(904) 269-8161

Fax

(904) 215-4633

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1942373485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 LAKE FOREST LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038626",
            "telephone_number": "904-269-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 US HIGHWAY 17 STE 1",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034829",
            "telephone_number": "904-269-8161",
            "fax_number": "904-215-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICHOLE",
        "middle_name": "YVONNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Gladys Le Bright
• Brightview Homecare Services LLC
• Melissa Brinkley, APRN
• Brown Eyecare PA
• Lisa Brown, LCSW
• Danielle Alexis Brunson, DNP APRN FNP-BC
• Jeffrey A Bubis, DO
• Kristen S Buchanan, M.S.
• Brittany Alexander Bunn, ARNP
• Ashley Ann Burgholzer, RDH

• Optometrist in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.