Individual
JERARD W BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(570) 288-7405
(570) 288-7406
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(410) 571-8733
(410) 571-6309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG1338
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016537180006
—
PA
01
—
BR1691698
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/20/2005
Last updated
09/29/2025
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