# JEFFREY DAVID BROWN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184699571
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4005 | FL | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 02/27/2025

## 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 |