Provider Demographics
NPI:1679181747
Name:BROWN, PATRICK E (OD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:E
Last Name:BROWN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1018 MANATEE RD APT E304
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-3920
Mailing Address - Country:US
Mailing Address - Phone:419-966-3645
Mailing Address - Fax:
Practice Address - Street 1:5858 SW 68TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3693
Practice Address - Country:US
Practice Address - Phone:305-661-8588
Practice Address - Fax:305-661-6493
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-15
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5808152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist