Healthcare Provider Details

I. General information

NPI: 1760423479
Provider Name (Legal Business Name): KAREN LOUISE BROWN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 02/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 HIGHLANDS SQUARE DR
HENDERSONVILLE NC
28792-5721
US

IV. Provider business mailing address

250 HIGHLANDS SQUARE DR
HENDERSONVILLE NC
28792-5721
US

V. Phone/Fax

Practice location:
  • Phone: 828-696-7898
  • Fax: 828-696-7856
Mailing address:
  • Phone: 828-696-7898
  • Fax: 828-696-7856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1618
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: