Provider Demographics
NPI:1942642285
Name:BROWN, BARRETT L (OD)
Entity Type:Individual
Prefix:
First Name:BARRETT
Middle Name:L
Last Name:BROWN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:SEARK
Other - Middle Name:
Other - Last Name:EYECARE LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:408 W MCCLOY ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-4325
Mailing Address - Country:US
Mailing Address - Phone:870-367-8511
Mailing Address - Fax:870-367-3215
Practice Address - Street 1:408 W MCCLOY ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4325
Practice Address - Country:US
Practice Address - Phone:870-367-8511
Practice Address - Fax:870-367-3215
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2685152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist