Timothy M Brown, Od, Pc | |
715 Walnut St, Mount Carmel, IL 62863-1465 | |
(618) 263-3165 | |
Not Available |
Full Name | Timothy M Brown, Od, Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 715 Walnut St, Mount Carmel, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376734483 | NPI | - | NPPES |
046008505 | Medicaid | IL | |
209199 | Other | IL | MEDICARE GROUP |
046008505 | Other | IL | MEDICARE SUPPLIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046008505 (Illinois) | Primary |
Provider Name | Timothy Brown |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093884900 PECOS PAC ID: 2062491889 Enrollment ID: I20040716000429 |
Provider Name | Emily K Ryan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407842784 PECOS PAC ID: 4880663897 Enrollment ID: I20140220001342 |
Mailing Address | Practice Location Address |
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Timothy M Brown, Od, Pc 715 Walnut St, Mount Carmel, IL 62863-1465 Ph: (618) 263-3165 | Timothy M Brown, Od, Pc 715 Walnut St, Mount Carmel, IL 62863-1465 Ph: (618) 263-3165 |
Dr. Timothy M Brown, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 N Walnut St, Mount Carmel, IL 62863 Phone: 618-263-3165 | |
Mt. Carmel Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 715 Chestnut St, Mount Carmel, IL 62863 Phone: 618-263-3362 Fax: 618-263-6001 |