Provider Demographics
NPI:1568776003
Name:BROWN, JAYME ASHLEY (OD)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:ASHLEY
Last Name:BROWN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2800 SW WANAMAKER RD
Mailing Address - Street 2:SUITE 192
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4293
Mailing Address - Country:US
Mailing Address - Phone:785-272-0707
Mailing Address - Fax:785-272-0575
Practice Address - Street 1:2800 SW WANAMAKER RD
Practice Address - Street 2:SUITE 192
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4293
Practice Address - Country:US
Practice Address - Phone:785-272-0707
Practice Address - Fax:785-272-0575
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1885152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4872910001Medicare NSC