Organization
ELTON H. BROWN III OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELTON H. BROWN OD (PRESIDENT)
(434) 447-7400
Entity
Organization
Contact information
Practice address
315 N MAIN ST, LAWRENCEVILLE, VA 23868-1809
(434) 848-2411
(434) 848-0193
Mailing address
315 N MAIN ST, LAWRENCEVILLE, VA 23868-1809
(434) 848-2411
(434) 848-0193
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000431
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009232702
—
VA
01
—
101715
ANTHEM
VA
01
—
1821049941
NPI INDIVIDUAL
VA
Enumeration date
03/02/2007
Last updated
10/12/2007
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