Individual provider · NPI-1

Dr. Andrew David Brown, OD, MD

Optometrist · Bethesda, MD

NPI number1215302104
StatusActive
Last updated in NPPESMar 26, 2025

Details

NPI
1215302104
Entity type
Individual (NPI-1)
Name
Dr. Andrew David Brown
Credential
OD, MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 3, 2015
Certification date
Mar 26, 2025
Last updated
Mar 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOD0000003254TNYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

8901 Rockville Pike
Bethesda, MD 20889-9098

Phone 301-295-4000

Mailing address

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Other practice locations

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Phone 870-634-6294

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