Provider Demographics
NPI:1891044962
Name:CHRISTINA L BROWN OD PA
Entity Type:Organization
Organization Name:CHRISTINA L BROWN OD PA
Other - Org Name:BROWN VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:941-554-2816
Mailing Address - Street 1:8201 S TAMIAMI TRL
Mailing Address - Street 2:UNIT #501
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2966
Mailing Address - Country:US
Mailing Address - Phone:941-554-2816
Mailing Address - Fax:941-554-2817
Practice Address - Street 1:8201 S TAMIAMI TRL
Practice Address - Street 2:501
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-2966
Practice Address - Country:US
Practice Address - Phone:941-554-2816
Practice Address - Fax:941-554-2817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4428261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCQ031ZMedicare UPIN