Provider Demographics
NPI:1023296761
Name:ALLEN W BROWN
Entity type:Organization
Organization Name:ALLEN W BROWN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED OPTICIAN
Authorized Official - Phone:713-650-1036
Mailing Address - Street 1:4906 GOLF DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-1426
Mailing Address - Country:US
Mailing Address - Phone:713-650-1036
Mailing Address - Fax:713-651-0099
Practice Address - Street 1:2000 CRAWFORD ST
Practice Address - Street 2:SUITE 842
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9070
Practice Address - Country:US
Practice Address - Phone:713-650-1036
Practice Address - Fax:713-651-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0863420001Medicare NSC