Provider Demographics
NPI:1295064855
Name:DRS. BROWN & BROWN, OPTOMETRISTS, P.C.
Entity type:Organization
Organization Name:DRS. BROWN & BROWN, OPTOMETRISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:O D
Authorized Official - Phone:912-236-4898
Mailing Address - Street 1:1320 ABERCORN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-6947
Mailing Address - Country:US
Mailing Address - Phone:912-236-4898
Mailing Address - Fax:912-236-4890
Practice Address - Street 1:1320 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-6947
Practice Address - Country:US
Practice Address - Phone:912-236-4898
Practice Address - Fax:912-236-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000182839AMedicaid
GA000182839AMedicaid
41ZCBXFMedicare PIN