Organization
JEFFREY H BROWN OPTOMETRY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H BROWN O.D (OWNER)
(714) 979-1811
Entity
Organization
Contact information
Practice address
1175 BAKER ST, E-16, COSTA MESA, CA 92626-4101
(714) 979-1811
(714) 979-2025
Mailing address
1175 BAKER ST, E-16, COSTA MESA, CA 92626-4101
(714) 979-1811
(714) 979-2025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8065T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0080650
—
CA
Enumeration date
06/09/2011
Last updated
06/09/2011
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