Organization
BROWN FAMILY VISION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL I BROWN O.D. (PRESIDENT)
(208) 983-0260
Entity
Organization
Contact information
Practice address
622 W NORTH ST, GRANGEVILLE, ID 83530-1240
(208) 983-0260
Mailing address
622 W NORTH ST, GRANGEVILLE, ID 83530-1240
(208) 983-0260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
0-869
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015436
REGENCE
ID
05
—
002182800
—
ID
01
—
V7201
BLUE CROSS
ID
Enumeration date
02/26/2008
Last updated
05/17/2012
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