Individual
DR. RYAN J BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1202 2ND AVE N, FORT DODGE, IA 50501-4115
(515) 576-1261
(515) 576-0224
Mailing address
1202 2ND AVE N, FORT DODGE, IA 50501-4115
(515) 576-1261
(515) 576-0224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02250
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1293670
—
IA
01
—
34895
BLUE CROSS OF IOWA
IA
01
—
5486680001
CIGNA MEDICARE
IA
01
—
PLAMETTO
RAILROAD MEDICARE
IA
Enumeration date
04/04/2006
Last updated
07/08/2007
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