| NPI | 1093884900 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-11-06 |
| Last Updated | 2013-01-02 |
| Mailing Address | 715 N Walnut St Mount Carmel, IL 62863-1465 United States Phone: (618) 263-3165 📍 View Map |
| Primary Practice Address | 715 N Walnut St Mount Carmel, IL 62863-1465 United States Phone: (618) 263-3165 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | IL | 046008505 |
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About NPI 1093884900
Timothy M Brown OD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093884900. The primary specialty listed is Optometrist. The provider is located in Mount Carmel, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093884900?
NPI 1093884900 belongs to Timothy M Brown OD, a Optometrist in Mount Carmel, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093884900 active?
The current status of NPI 1093884900 in the NPPES registry is Active. The record was last updated on 2013-01-02.
What specialty is NPI 1093884900?
NPI 1093884900 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093884900?
You can verify NPI 1093884900 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093884900?
The primary practice address on file for NPI 1093884900 is 715 N Walnut St, Mount Carmel, IL 62863-1465. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093884900 issued?
NPI 1093884900 was first issued (enumerated) on 2006-11-06. The NPPES record was last updated on 2013-01-02.
Practice Location Map
Timothy M Brown is located at 715 N Walnut St, Mount Carmel, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Timothy M Brown. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093884900. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | 046008505 | IL |