Individual
TRISTAN M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1236 HEIRES AVE, CARROLL, IA 51401-3328
(712) 792-3318
(712) 792-3319
Mailing address
PO BOX 669, CARROLL, IA 51401-0669
(712) 792-3318
(712) 792-3319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02359
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498287
—
IA
05
—
1498287
—
IA
05
—
2498287
—
IA
01
—
25005
WELLMARK CARROLL
IA
01
—
25007
WELLMARK DENISON
IA
01
—
25008
WELLMARK JEFFERSON
IA
01
—
250737
MIDLANDS CHOICE
IA
01
—
291300
COVENTRY ALL OFFICES
IA
Enumeration date
07/15/2006
Last updated
10/10/2008
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