Provider Demographics
NPI:1649276106
Name:BROWN, CLIFFORD DOUGLAS (OD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:DOUGLAS
Last Name:BROWN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:3801 NEBRASKA AVE NW
Mailing Address - Street 2:BLDG 20-106
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-0000
Mailing Address - Country:US
Mailing Address - Phone:202-447-3813
Mailing Address - Fax:202-282-8805
Practice Address - Street 1:3801 NEBRASKA AVE NW
Practice Address - Street 2:BLDG 20-106
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-0000
Practice Address - Country:US
Practice Address - Phone:202-447-3813
Practice Address - Fax:202-282-8805
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2011-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT651152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics