Provider Demographics
NPI:1760423479
Name:BROWN, KAREN LOUISE (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LOUISE
Last Name:BROWN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 HIGHLANDS SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5721
Mailing Address - Country:US
Mailing Address - Phone:828-696-7898
Mailing Address - Fax:828-696-7856
Practice Address - Street 1:250 HIGHLANDS SQUARE DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5721
Practice Address - Country:US
Practice Address - Phone:828-696-7898
Practice Address - Fax:828-696-7856
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1618152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890932XMedicaid
410033149OtherRAILROAD MEDICARE
0932XOtherBLUECROSS/BLUESHIELD
2460004Medicare ID - Type Unspecified
U63370Medicare UPIN