Brown, Charissa C.
Brown, Charissa C. is an individual health care provider with primary practice located at 142 N Main St , Belchertown MA 01007-9433. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Brown, Charissa C. can be contacted via phone (413) 323-1196.Contact Information
Primary practice address
142 N Main St
Belchertown MA 01007-9433
Phone: (413) 323-1196
Fax: (413) 323-1186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MA3427 | Massachusetts |
| Eye and Vision Services Providers / Optometrist | 152W00000X | MA2516 | Massachusetts |
| Eye and Vision Services Providers / Optician | 156FX1800X | MA4856 | Massachusetts |
Profile Details
| NPI number | 1831218387 |
|---|---|
| LBN Legal business name | Brown, Charissa C. |
| Credentials | R.D.O. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831218387 | NPPES |
| Massachusetts | Other | MA4856 | EYE MED PROVIDER NUMBER |
| Massachusetts | MEDICAID | 0338061 | EYE MED PROVIDER NUMBER |
| Massachusetts | Other | 0338061 | EYE MED PROVIDER NUMBER |
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