Organization
DRS GREEN & BROWN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTI J STOVER (BILLING DEPARTMENT)
(740) 286-5022
Entity
Organization
Contact information
Practice address
260 EAST MAIN ST, JACKSON, OH 45640
(740) 286-5022
(740) 286-7000
Mailing address
260 E MAIN ST, JACKSON, OH 45640-1745
(740) 286-5022
(740) 286-7000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219230
—
OH
01
—
0457400001
ADMINISTAR
OH
Enumeration date
04/03/2006
Last updated
11/17/2025
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