Individual
DR. BARY M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1441 E SUNSHINE ST, SPRINGFIELD, MO 65804-1211
(417) 886-2020
(417) 886-9875
Mailing address
1441 E SUNSHINE ST, SPRINGFIELD, MO 65804-1211
(417) 886-2020
(417) 886-9875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02279
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0435010001
DMERC REGION D
MO
05
—
310817804
—
MO
01
—
410011386
RAILROAD MEDICARE
MO
Enumeration date
09/22/2005
Last updated
06/14/2011
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