Individual
MS. CHARISSA C. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.O.
Contact information
Practice address
142 N MAIN ST, BELCHERTOWN, MA 01007-9433
(413) 323-1196
(413) 323-1186
Mailing address
PO BOX 42, BELCHERTOWN, MA 01007-0042
(413) 323-1196
(413) 323-1186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA2516
MA
152W00000X
Optometrist
MA3427
MA
156FX1800X
Optician
MA4856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0338061
MASS HEALTH PROVIDER NO.
MA
05
—
0338061
—
MA
01
—
MA4856
EYE MED PROVIDER NUMBER
MA
Enumeration date
03/28/2007
Last updated
09/11/2025
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