Individual
DR. CAROL L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8254 MAYBERRY SQ N, SYLVANIA, OH 43560
(419) 885-5300
(419) 885-5308
Mailing address
8254 MAYBERRY SQ N, SYLVANIA, OH 43560
(419) 885-5300
(419) 885-5308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3926T9
OH
152W00000X
Optometrist
4901003141
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136272
ANTHEM
OH
01
—
03068
PARAMOUNT
OH
05
—
0975253
—
OH
Enumeration date
05/09/2006
Last updated
02/19/2008
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