JERRY W BROWN (NPI# 1265545412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265545412 |
| Entity Type | Individual |
| Full Name | JERRY W BROWN |
| Credential | O.D. |
| Practice Address |
1390 Highway F Waynesville MO 65583 |
| Practice Telephone | 5737742040 |
| Practice Fax Number | 5737746152 |
| Mailing Telephone | 5737742040 |
| Mailing Fax Number | 5737746152 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T03398MO | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | APWU HEALTH PLAN | 002613709 | 01 |
| MO | BLUE CROSS BLUE SHIELD FEDERAL EMPLOYEE PROGRAM | 1598945859 | 01 |
| MO | EQUITABLE LIFE AND CASUALTY INSURANCE COMPANY | 1598945859 | 01 |
| MO | PALMETTO GBA - RAILROAD MEDICARE | 410046201 | 01 |
| MO | EQUITABLE LIFE AND CASUALTY INSURANCE COMPANY | 431157294 | 01 |
| MO | ARCADIAN COMMUNITY CARE | 431157294 | 01 |
| MO | UNITED WORLD LIFE INSURANCE | 1598945859 | 01 |
| MO | BLUE SHIELD OF CALIFORNIA | 1598945859 | 01 |
| MO | MERITAIN HEALTH | 1598945859 | 01 |
| MO | CARPENTERS' HEALTH & WELFARE TRUST FUND OF ST. LOUIS | 1598945859 | 01 |
| MO | HEARTLAND NATIONAL | 431157294 | 01 |
| MO | UMR | 431157294 | 01 |
| MO | CIGNA | 431157294 0005 | 01 |
| MO | PALMETTO GBA - RAILROAD MEDICARE | 1598945859 | 01 |
| MO | ANTHEM | 000000414171 | 01 |
| MO | UNITED COMMERCIAL TRAVELERS OF AMERICA | 0431157294 | 01 |
| MO | AMERICAN FAMILY INSURANCE | 1598945859 | 01 |
| MO | PHYSICIANS MUTUAL | 1598945859 | 01 |
| MO | CONTINENTAL LIFE INSURANCE | 1598945859 | 01 |
| MO | TRICARE WEST | 1265545412 | 01 |
| MO | ANTHEM BLUECROSS BLUESHIELD | 431157294 | 01 |
| MO | RESERVE NATIONAL | 431157294 | 01 |
| MO | HUMANA | 431157294 A | 01 |
| MO | COVENTRY HEALTH AND LIFE INSURANCE COMPANY | 596488 | 01 |
| MO | HARTFORD LIFE INSURANCE COMPANY | 1598945859 | 01 |
| MO | COMBINED INSURANCE COMPANY OF AMERICA | 1598945859 | 01 |
| MO | BLUE CROSS BLUE SHIELD OF MINNESOTA | 1598945859 | 01 |
| MO | AMERICAN REPUBLIC INSURANCE COMPANY | 1598945859 | 01 |
| MO | TRANSAMERICA LIFE INSURANCE COMPANY | 431157294 | 01 |
| MO | CHRISTIAN FIDELITY LIFE INSURANC | 1598945859 | 01 |
| MO | COOPERATIVE BENEFIT ADMINISTRATORS, INC | 1598945859 | 01 |
| MO | MUTUAL OF OMAHA COMPANIES | 1598945859 | 01 |
| MO | CHAMPVA | 1598945859 | 01 |
| MO | WPS TRICARE | 1265545412 | 01 |
| MO | UNITEDHEALTHCARE | 431157294 | 01 |
| MO | CORESOURCE | 431157294 | 01 |
| MO | AETNA | 0007812292 | 01 |
| MO | CARE IMPROVEMENT PLUS | 002000052183 | 01 |
| MN | 1265545412 | 05 | |
| MO | ADMIRAL LIFE INSURANCE COMPANY O | 1598945859 | 01 |
| MO | GOVERNMENT EMPLOYEES HEALTH ASSOCIATION INC | 1598945859 | 01 |
| MO | NATIONAL ASSOCIATIO OF LETTER CARRIERS HEALTH BENEFIT | 1598945859 | 01 |
| MO | MEDICO INSURANCE COMPANY | 431157294 | 01 |
| MO | OLD SURETY LIFE INSURANCE COMPANY | 431157294-X01 | 01 |
| MO | CONSTRUCTION INDUSTRY LABORERES WELFARE FUND | 1598945859 | 01 |
| MO | MAIL HANDLERS BENEFIT PLAN | 2195676 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063061901 | Jerry Brown | Technician | 429 Cr 1448, Quitman, TX 75783 | 2019-09-04 |
| 1851476071 | Jerry Michael Brown | Dentist | 19 West 44th Street, Ste 400, New York, NY 10036 | 2006-10-26 |
| 1861408296 | Jerry L. Brown | Anesthesiology | 1 Freedom Way # 222, Vamc Augusta, Augusta, GA 30904-6258 | 2006-07-31 |
| 1780609040 | Jerry Lee Brown | Dentist | 181 E 1st Ave, Colville, WA 99114-2801 | 2006-07-13 |
| 1881637478 | Jerry Micheal Brown Sr. | Social Worker | 48 Wigwam Dr, Pulaski, NY 13142-2269 | 2006-06-13 |
| 1023008943 | Jerry M Brown | Radiology | 507 Rocky Top Dr, Columbia, TN 38401-2563 | 2005-10-21 |
| 1932523636 | Jerry Brown | Counselor | 335 N Alma School Rd, Suite E, Chandler, AZ 85224-4363 | 2014-02-15 |
| 1962628438 | Jerry Vernal Brown | Dentist | 588 E Main St, Lehi, UT 84043-2246 | 2007-04-17 |
| 1467591289 | Jerry W Brown | Counselor | 6300 Riverside Plaza Ln Nw, Suite 100, Albuquerque, NM 87120-2617 | 2007-02-06 |
| 1497895049 | Jerry Lamont Brown | Physician Assistant | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2007-02-06 |
| Street Address |
1390 HIGHWAY F |
| City | WAYNESVILLE |
| State | MO |
| Zip Code | 65583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598945859 | Cs Larson Od & Associates PC | Optometrist | 1390 Highway F, Waynesville, MO 65583-0000 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1134770464 | Patricia Harper | Technician | 25455 Hwy W, Waynesville, MO 65583 | 2019-09-27 |
| 1619430519 | Charles L Quinn | Counselor | Hope Connections LLC 704 Historic Rte. 66w Suite 101, Waynesville, MO 65583 | 2019-04-09 |
| 1801340609 | Nicole Marie Decher | Social Worker | 704 Historic 66 W # 207, Waynesville, MO 65583 | 2016-08-09 |
| 1780952945 | Joseph Benton Isaac | Dentist | 1400 State Rd F, Reznicek Dental Group LLC, Waynesville, MO 65583 | 2011-12-02 |
| 1326325192 | Paul Duane Reznicek | Dentist | 1400 State Rt F, Waynesville, MO 65583 | 2011-11-08 |
| 1629366182 | Bletel Residential Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18844 Ladera Ln, Waynesville, MO 65583 | 2011-07-19 |
| 1720218126 | Pulaski County Board for The Handicapped | Case Management | 301 Historic Route 66 East, Waynesville, MO 65583 | 2009-07-20 |
| 1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
| 1841404746 | Valencia Sivells | Counselor | 411 Historic Rte 66 West, Waynesville, MO 65583 | 2007-05-09 |
| Find all providers in zip 65583 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033411848 | New Mountain Eye Associates Pllc | Optometrist | 1898 S Main St, Waynesville, NC 28786-2158 | 2010-11-30 |
| 1881785723 | Waynesville Family Vision | Optometrist | 4353 E State Route 73 Ste 170, Waynesville, OH 45068-8838 | 2006-09-27 |
| 1336121540 | Leroy Simons Roberson | Optometrist | 29 N Main St, Waynesville, NC 28786-3886 | 2005-11-15 |
| 1164422044 | Coy A Brown | Optometrist | 18 Bowman Dr, Suite C, Waynesville, NC 28785-6115 | 2005-07-21 |
| 1194340943 | Primary Vision Care of Mount Vernon Inc | Optometrist | 4353 E State Route 73, Waynesville, OH 45068-8812 | 2020-06-08 |
| 1376164756 | Family Vision Care of Waynesville LLC | Optometrist | 4353 E State Route 73 Ste 170, Waynesville, OH 45068-8838 | 2020-04-27 |
| 1194137588 | Haywood Family Eye Care Od Pllc | Optometrist | 29 N Main St, Waynesville, NC 28786-3886 | 2014-05-20 |
| 1932457827 | Elyn Aimee Mcbride | Optometrist | 29 N Main St, Waynesville, NC 28786-3886 | 2012-08-27 |
| 1427313568 | Thomas A Pinkston | Optometrist | 29 N Main St, Waynesville, Waynesville, NC 28786-3886 | 2012-07-04 |
| 1598945859 | Cs Larson Od & Associates PC | Optometrist | 1390 Highway F, Waynesville, MO 65583-0000 | 2007-11-05 |
| Find all providers in WAYNESVILLE | ||||
| City | WAYNESVILLE |
| Zip Code | 65583 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.