Individual
JEFFREY DAVID BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5255 DUNN AVE, JACKSONVILLE, FL 32218-4361
(904) 757-1495
(904) 757-1497
Mailing address
201 N HOGAN ST STE 100, JACKSONVILLE, FL 32202-4203
(904) 757-1495
(904) 757-1497
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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