Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY W BROWN, O.D.
Active Sole ProprietorJERRY W BROWN, O.D. is a Optometrist healthcare provider located in WAYNESVILLE, Missouri. NPI 1265545412 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WAYNESVILLE, MO
Registration Details
- NPI Number
- 1265545412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (20.036790868471 yrs)
- Last Updated
- Jan 6, 2015
- License
-
T03398MO (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1390 HIGHWAY FWAYNESVILLE, MO, 65583Browse MO providers · Browse ZIP 65583
- Phone
- 5737742040
- Fax
- 5737746152
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.