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Brown Family Vision, P.C.

Optometrist in Grangeville, ID. Organization (NPI-2).

NPI number1154590909
StatusActive
Last updated in NPPESMay 17, 2012

Details

NPI
1154590909
Entity type
Organization (NPI-2)
Legal business name
Brown Family Vision, P.C.
Organization subpart
No
Enumeration date
Feb 26, 2008
Last updated
May 17, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHYSICIAN - OPTOMETRIST
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes
332H00000X Eyewear Supplier (Equipment, not the service)0-869ID

Practice location

622 W North St
Grangeville, ID 83530-1240

Phone 208-983-0260

Mailing address

622 W North St
Grangeville, ID 83530-1240

Phone 208-983-0260

Authorized official

Joel I Brown
President
2089830260

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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