Provider Demographics
NPI:1760451330
Name:DAVID L. BROWNING OD
Entity Type:Organization
Organization Name:DAVID L. BROWNING OD
Other - Org Name:EYE CARE OPTOMETRIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-263-0101
Mailing Address - Street 1:225 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAKEPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95453-5018
Mailing Address - Country:US
Mailing Address - Phone:707-263-0101
Mailing Address - Fax:707-263-4251
Practice Address - Street 1:225 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAKEPORT
Practice Address - State:CA
Practice Address - Zip Code:95453-5018
Practice Address - Country:US
Practice Address - Phone:707-263-0101
Practice Address - Fax:707-263-4251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8204T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA410045239OtherRAILROAD MEDICARE
CAGSD000940Medicaid
CASD0095380Medicaid
CASD0082040Medicaid
CAZZZ43529ZOtherMEDICARE ID-UNSPECIFIED
CASD0095380Medicare PIN
CASD0082040Medicaid
CAT10663Medicare UPIN
CAGSD000940Medicaid
CA0948290001Medicare NSC