Active NPI
Cynthia Carleen Brown, O.D.
- Optometrist
- Greencastle, IN
National Provider Identifier
1972726628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002193
- Practice address
- 1750 Indianapolis Rd
Greencastle, IN 46135-7448 - Phone
- (765) 655-1759
- Fax
- (765) 655-1278
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002193 | IN | Primary |
Addresses
Primary practice location
1750 Indianapolis Rd
Greencastle, IN 46135-7448
Mailing address
1750 Indianapolis Rd
Greencastle, IN 46135-7448
Phone (765) 655-1759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121109000551 | IN | Practitioner - Optometry | 1456502970 | Practice locations: Greencastle, IN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002193 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Service Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342828800000",
"number": "1972726628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 INDIANAPOLIS RD",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461357448",
"telephone_number": "765-655-1759",
"fax_number": "765-655-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 INDIANAPOLIS RD",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461357448",
"telephone_number": "765-655-1759",
"fax_number": "765-655-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CYNTHIA",
"middle_name": "CARLEEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2012-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greencastle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.