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:
Map and Directions
Authorized official contact:
Name: Brown, Timothy Michael Doctor of Optometry (OD)
Phone: (618) 263-3165

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376734483 NPPES
Illinois MEDICAID 046008505
Illinois Other 209199
Illinois Other 046008505

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