MEDICARE: DR. SARA BROWN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	5760TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932102571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA BROWN O.D.

Provider Business Mailing Address
First Line	:	5177 RICHMOND AVE
Second Line	:	SUITE 780
City	:	HOUSTON
State	:	TX
Zip	:	77056-6752
Country	:	US
Telephone Number	:	713-349-0224
Fax Number	:	713-349-9834

Provider Business Practice Location Address
First Line	:	5177 RICHMOND AVE
Second Line	:	SUITE 780
City	:	HOUSTON
State	:	TX
Zip	:	77056-6707
Country	:	US
Telephone Number	:	713-349-0224
Fax Number	:	713-349-9834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/14/2017

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Directions to “ DR. SARA BROWN O.D.” Practice Location

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