Active NPI
Terry L Brown, OD
- Optometrist
- Jefferson, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01563
- Practice address
- 117 E Lincolnway St
Jefferson, IA 50129-2107 - Phone
- (515) 386-8196
- Fax
- (515) 386-8921
- NPI assigned
- Nov 10, 2005
- Last updated
- Jan 11, 2017
- Sex
- Male
- 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 | 01563 | IA | Primary |
Addresses
Primary practice location
117 E Lincolnway St
Jefferson, IA 50129-2107
Mailing address
PO Box 460
Jefferson, IA 50129-0460
Phone (515) 386-8196
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72859 | Other | IA | COVENTRY JEFFERSON |
| 73120 | Other | IA | COVENTRY OSCEOLA |
| 026715 | Other | IA | HEALTH ALLIANCE JEFFERSON |
| 41542 | Other | IA | WELLMARK BC/BS OSCEOLA |
| 01160 | Other | IA | WELLMARK BC/BS J |
| 3091728 | Medicaid | IA | |
| 35344 | Other | IA | MIDLANDS CHOICE |
| 0091728 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 S Fillmore St
Osceola, IA 50213-1201
Phone (641) 342-4356
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01563 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eye Care PC | Optometrist | Current | Accepting new patients |
| Aruba Vision LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates LLC | Optometrist | Current | Accepting new patients |
| Family Eye Care of Osceola PC | Optometrist | Current | Accepting new patients |
| Family Eye Care of Ida Grove PC | Optometrist | Past | Accepting new patients |
| Drees Family & Sports Chiropractic, Inc | Past | Accepting new patients | |
| Carroll Eye Clinic PC | Optometrist | Past | Accepting new patients |
Locations
1504 5th Ave S
Denison, IA 51442
Phone (712) 263-5654
2306 12th St
Harlan, IA 51537
Phone (712) 755-3893
110 S Fillmore St
Osceola, IA 50213
Phone (515) 342-4356
1313 2nd St
Perry, IA 50220
Phone (515) 465-4203
Interoperability endpoints
- terrybrown_oc@familyeyeosceola.direct.eyemdemr.com
- terrybrownod@jeffersoneyecare.direct.eyemdemr.com
Organizations & group practices 8
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.
-
- Optometrist
- Harlan, IA
- NPI 1437848280
-
- Optometrist
- Osceola, IA
- NPI 1982674578
-
- Optometrist
- Denison, IA
- NPI 1134199722
-
- Optometrist
- Perry, IA
- NPI 1841771318
-
- Optometrist
- Ida Grove, IA
- NPI 1043292949
-
- Optometrist
- Carroll, IA
- NPI 1518948231
-
- Chiropractor
- Indianola, IA
- NPI 1194878066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1992786354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "JEFFERSON",
"state": "IA",
"postal_code": "501290460",
"telephone_number": "515-386-8196",
"fax_number": "515-386-8921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E LINCOLNWAY ST",
"city": "JEFFERSON",
"state": "IA",
"postal_code": "501292107",
"telephone_number": "515-386-8196",
"fax_number": "515-386-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TERRY",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "01563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY JEFFERSON",
"identifier": "72859",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY OSCEOLA",
"identifier": "73120",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE JEFFERSON",
"identifier": "026715",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS OSCEOLA",
"identifier": "41542",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS J",
"identifier": "01160",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3091728",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "35344",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091728",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.