Provider Demographics
NPI:1639521974
Name:DR. KATHERINE BROWN OD PLLC
Entity Type:Organization
Organization Name:DR. KATHERINE BROWN OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAIZA-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-507-9013
Mailing Address - Street 1:10056 HELENA ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9366
Mailing Address - Country:US
Mailing Address - Phone:303-507-9013
Mailing Address - Fax:
Practice Address - Street 1:2800 PEARL ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1123
Practice Address - Country:US
Practice Address - Phone:303-507-9013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3206152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty