Individual
TERRY L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
117 E LINCOLNWAY ST, JEFFERSON, IA 50129-2107
(515) 386-8196
(515) 386-8921
Mailing address
PO BOX 460, JEFFERSON, IA 50129-0460
(515) 386-8196
(515) 386-8921
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01563
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091728
—
IA
01
—
01160
WELLMARK BC/BS J
IA
01
—
026715
HEALTH ALLIANCE JEFFERSON
IA
05
—
3091728
—
IA
01
—
35344
MIDLANDS CHOICE
IA
01
—
41542
WELLMARK BC/BS OSCEOLA
IA
01
—
72859
COVENTRY JEFFERSON
IA
01
—
73120
COVENTRY OSCEOLA
IA
Enumeration date
11/10/2005
Last updated
01/11/2017
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