Elton H. Brown III OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000431 Issued in VA

Legal business name

ELTON H. BROWN III OD PC

Practice address

113 E Atlantic St
South Hill, VA 23970-2001

Phone

(434) 447-7400

Fax

(434) 447-4660

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elton H. Brown III, OD

Title

President

Phone

(434) 447-7400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Alexandra Jo Cavin Nilsen, O.D.

  • Optometrist
  • Richmond, VA
  • NPI 1447296728
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1962444596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702001",
            "telephone_number": "434-447-7400",
            "fax_number": "434-447-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702001",
            "telephone_number": "434-447-7400",
            "fax_number": "434-447-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELTON H. BROWN III OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-447-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821049941",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "071537",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Driver, RN
• Kelsey Easter
• Laura Wrenn Edwards, NP
• Mervet El Assal Maximous, MD
• Nemer Junior El Mouallem, M.D.
• Erika W Scruggs LPC PLLC
• Essentials Home Care
• Stacy J Eubanks, S.L.P.
• Elizabeth Jene Ezell, RDH
• Family Foot Clinic

• Optometrist in South Hill, VA
• Providers in South Hill, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.