Individual
DR. ELTON HOWARD BROWN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
129 E FERRELL ST, SOUTH HILL, VA 23970-2101
(434) 447-3220
(434) 447-2309
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000431
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009203575
—
VA
05
—
009232702
—
VA
01
—
071537
ANTHEM BC BS
VA
01
—
101715
ANTHEM BC BS
VA
Enumeration date
05/13/2006
Last updated
10/12/2021
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