Individual
JAMES R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
220 E WALNUT ST, RIPLEY, MS 38663-2054
(662) 837-3696
(662) 837-0004
Mailing address
PO BOX 555, RIPLEY, MS 38663-0555
(662) 837-3696
(662) 837-0004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
450
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087780
—
MS
01
—
640619201
FED EMPLOY I D
MS
01
—
MS0450
EYEMED
MS
Enumeration date
11/14/2006
Last updated
04/22/2008
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