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Contact Information

JERARD W BROWN, OD
703 RUTTER AVE
KINGSTON, PA18704-4801
 Phone: 570-288-7405
 Fax: 570-288-7406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JERARD W BROWN · (Male)

NPI # 1376539916
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/20/2005
Last updated 09/29/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • PA License # OEG1338
  • PA Medicaid 0016537180006
  • PA Other BR1691698 HIGHMARK BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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