Individual provider Active NPI

Terry L Brown, OD

  • Optometrist
  • Jefferson, IA
National Provider Identifier
1992786354
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01563 Issued in IA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
72859OtherIACOVENTRY JEFFERSON
73120OtherIACOVENTRY OSCEOLA
026715OtherIAHEALTH ALLIANCE JEFFERSON
41542OtherIAWELLMARK BC/BS OSCEOLA
01160OtherIAWELLMARK BC/BS J
3091728MedicaidIA
35344OtherIAMIDLANDS CHOICE
0091728MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000770 IA Practitioner - Optometry 8820081904 Reassigns benefits to 4 organizations

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

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01563IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care PC Optometrist CurrentSince Sep 25, 2023 Accepting new patients
Aruba Vision LLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Eye Care Associates LLC Optometrist CurrentSince Jul 4, 2023 Accepting new patients
Family Eye Care of Osceola PC Optometrist CurrentSince Oct 22, 1997 Accepting new patients
Family Eye Care of Ida Grove PC Optometrist PastSince Aug 21, 2015 Accepting new patients
Drees Family & Sports Chiropractic, Inc Past Accepting new patients
Carroll Eye Clinic PC Optometrist PastSince Oct 22, 2002 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

  • Direct secure messaging: terrybrown_oc@familyeyeosceola.direct.eyemdemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.