Provider Demographics
NPI:1134291891
Name:BROWN, MARVIN W III (OD)
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:W
Last Name:BROWN
Suffix:III
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5809 ARBOR VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-1522
Mailing Address - Country:US
Mailing Address - Phone:817-704-0014
Mailing Address - Fax:972-937-6626
Practice Address - Street 1:1200 N HIGHWAY 77
Practice Address - Street 2:STE A
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5114
Practice Address - Country:US
Practice Address - Phone:972-937-6655
Practice Address - Fax:972-937-6626
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6803T152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management