Brown, Dean Randolph
Brown, Dean Randolph is an individual health care provider with primary practice located at 650 E Pine St Ste 105, Central Point OR 97502-2482. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brown, Dean Randolph can be contacted via phone (541) 664-5535.Contact Information
Primary practice address
650 E Pine St Ste 105
Central Point OR 97502-2482
Phone: (541) 664-5535
Fax: (541) 664-7745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2302ATI | Oregon |
Profile Details
| NPI number | 1497751275 |
|---|---|
| LBN Legal business name | Brown, Dean Randolph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Sep 10th, 2009 - 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 | 1497751275 | NPPES |
| Oregon | MEDICAID | 029715 | |
| Oregon | Other | 807295000 |
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