Shannan Elizabeth Brown in Mishawaka - Optometrist
Shannan Elizabeth Brown - NPI 1104023290
Shannan Elizabeth Brown is a Optometrist in Mishawaka, Indiana. Shannan Elizabeth Brown practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shannan Elizabeth Brown is 1104023290. The last update date is 2014-06-18.
Shannan Elizabeth Brown's current location address is 230 E Day Rd Ste 100, Mishawaka, Indiana. You can contact this provider via phone number 5742713939 and fax number 5742713941. The mailing address for Shannan Elizabeth Brown is 230 E Day Rd Ste 100, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannan Elizabeth Brown |
|---|---|
| Address | 230 E Day Rd Ste 100, Mishawaka, Indiana |
| Phone Number | 5742713939 |
| Fax Number | 5742713941 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1104023290 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2014-06-18 |
Provider Mailing Address Detail
| Address | 230 E Day Rd Ste 100 |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465453408 |
| Phone Number | 5742713939 |
| Fax Number | 5742713941 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18003466A |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00991570 | IN | RR MEDICARE | |
| 18003466A | IN | LICENSE | |
| 200864240 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shannan Elizabeth Brown?
The Shannan Elizabeth Brown has been issued the NPI (National Provider Identifier) 1104023290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shannan Elizabeth Brown?
The Shannan Elizabeth Brown is physically situated at 230 E Day Rd Ste 100, in the city of Mishawaka, state of IN, with the postal code 465453408.
What is Shannan Elizabeth Brown's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannan Elizabeth Brown's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
When did Shannan Elizabeth Brown receive its 1104023290 assignment?
The Shannan Elizabeth Brown was assigned its 1104023290 on 2007-07-02, which is the date when this unique identifier was issued to the organization.
When was the information regarding Shannan Elizabeth Brown, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannan Elizabeth Brown, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-06-18.