Individual
DR. DEAN I BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
100162
ID
152W00000X
Optometrist
2902 AT
OR
152W00000X
Optometrist
399T
WY
152W00000X
Optometrist
6016TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010170301
BLUE SHIELD
ID
01
—
000010170302
BLUE SHIELD
ID
01
—
V2741
BLUE CROSS OF IDAHO
ID
Enumeration date
04/06/2006
Last updated
04/29/2019
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