Provider Demographics
NPI:1043105315
Name:IERSTON-BROWN, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:IERSTON-BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 HILBURN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-4137
Mailing Address - Country:US
Mailing Address - Phone:919-618-2448
Mailing Address - Fax:
Practice Address - Street 1:7601 HILBURN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-4137
Practice Address - Country:US
Practice Address - Phone:919-618-2448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35992152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist