Timothy M Brown, Od, Pc
LBN: Timothy M Brown, Od, Pc
Timothy M Brown, Od, Pc is an health care organization with primary practice located at 715 Walnut St , Mount Carmel IL 62863-1465. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Timothy M Brown, Od, Pc can be contacted via phone (618) 263-3165, or through Brown, Timothy Michael via phone (618) 263-3165.
Contact Information
Primary practice address
715 Walnut St
Mount Carmel IL 62863-1465
Phone: (618) 263-3165
Fax:
Website:
Authorized official contact:
Name: Brown, Timothy Michael Doctor of Optometry (OD)
Phone: (618) 263-3165
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 046008505 | Illinois |
Profile Details
NPI number | 1376734483 |
---|---|
LBN Legal business name | Timothy M Brown, Od, Pc |
DBA Doing business as | |
Authorized official | Brown, Timothy Michael Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 5th, 2007 |
Last updated | Feb 13th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376734483 | NPPES |
Illinois | MEDICAID | 046008505 | |
Illinois | Other | 209199 | |
Illinois | Other | 046008505 |
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