Organization
DR RYAN J BROWN PC
Active
Other names
Central Iowa Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JAMES BROWN O.D. (OWNER)
(515) 576-1261
Entity
Organization
Contact information
Practice address
1202 2ND AVE N, FORT DODGE, IA 50501-4115
(515) 576-1261
(515) 576-0224
Mailing address
1202 2ND AVE N, PO BOX 1016, FORT DODGE, IA 50501-4115
(515) 576-1261
(515) 576-0224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02250
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463158
—
IA
01
—
05379
BLUE CROSS BLUE SHIELD
IA
01
—
34895
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/30/2006
Last updated
03/05/2009
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