Healthcare Provider Details

I. General information

NPI: 1508755174
Provider Name (Legal Business Name): ERYN BROWN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 FALLS BLVD S STE A
WYNNE AR
72396-3509
US

IV. Provider business mailing address

709 N RIVER BEND CV
MARION AR
72364-2687
US

V. Phone/Fax

Practice location:
  • Phone: 870-238-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2896
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: