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Contact Information

BROWN FAMILY VISION, P.C.
622 W NORTH ST
GRANGEVILLE, ID83530-1240
 Phone: 208-983-0260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BROWN FAMILY VISION, P.C.

NPI Number 1154590909
LBN Legal business name BROWN FAMILY VISION, P.C.
Authorized official JOEL BROWN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2008
Last updated 05/17/2012 - About 14 years ago
Identifiers
ID License # 0-869
ID Medicaid 002182800
ID Other V7201 BLUE CROSS
ID Other 000010015436 REGENCE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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