| Jeffrey H Brown Optometry P C | |
|
1175 Baker St E-16 Costa Mesa CA 92626-4101 | |
| (714) 979-1811 | |
| (714) 979-2025 |
| Full Name | Jeffrey H Brown Optometry P C |
|---|---|
| Speciality | Clinic/center |
| Location | 1175 Baker St, Costa Mesa, California |
| Authorized Official Name and Position | Jeffrey H Brown (OWNER) |
| Authorized Official Contact | 7149791811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey H Brown Optometry P C 1175 Baker St E-16 Costa Mesa CA 92626-4101 Ph: (714) 979-1811 | Jeffrey H Brown Optometry P C 1175 Baker St E-16 Costa Mesa CA 92626-4101 Ph: (714) 979-1811 |
| NPI Number | 1457646226 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457646226 | NPI | - | NPPES |
| SD0080650 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8065T (California) | Primary |
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