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Individual
JEFFREY DAVID BROWN
Active
Individual
JEFFREY DAVID BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01029
BCBS INDIVIDUAL ID
FL
01
—
0135179
GHI
—
01
—
2615561
UHC
—
01
—
621210700
MEDICAID INDIVIDUAL ID
FL
01
—
7223289
AETNA
—
01
—
8677011
CIGNA
—
01
—
P00424970
MEDICARE RR PTAN
FL
Enumeration date
02/21/2006
Last updated
02/27/2025
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