Brown, Diane
Brown, Diane is an individual health care provider with primary practice located at 13490 Beach Blvd , Jacksonville FL 32224-0290. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brown, Diane can be contacted via phone (904) 992-4100.Contact Information
Primary practice address
13490 Beach Blvd
Jacksonville FL 32224-0290
Phone: (904) 992-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3642 | Florida |
Profile Details
| NPI number | 1356479992 |
|---|---|
| LBN Legal business name | Brown, Diane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Mar 26th, 2021 - about 5 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 | 1356479992 | NPPES |
| Florida | Other | 928120 | BLOCK VISION |
| Florida | Other | 29553 | BLOCK VISION |
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