Provider Demographics
NPI:1679069116
Name:OCULO-FACIAL CONSULTANTS
Entity Type:Organization
Organization Name:OCULO-FACIAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-650-5437
Mailing Address - Street 1:6576 AIRPORT BLVD STE B200
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3788
Mailing Address - Country:US
Mailing Address - Phone:251-650-5437
Mailing Address - Fax:800-689-2131
Practice Address - Street 1:6576 AIRPORT BLVD STE B200
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3788
Practice Address - Country:US
Practice Address - Phone:251-650-5437
Practice Address - Fax:800-689-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Multi-Specialty