Organization
T L BROWN OD PC
Active
Other names
Jefferson Eye Care, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L BROWN O.D. (PRESIDENT)
(515) 386-8196
Entity
Organization
Contact information
Practice address
117 E LINCOLNWAY ST, JEFFERSON, IA 50129-2107
(515) 386-8196
(515) 386-2380
Mailing address
PO BOX 460, JEFFERSON, IA 50129-0460
(515) 386-8196
(515) 386-2380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0792242
—
IA
01
—
4210471460
HUMANA
IA
Enumeration date
11/16/2005
Last updated
07/20/2010
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