Healthcare Provider Details

I. General information

NPI: 1760444095
Provider Name (Legal Business Name): DRS GREEN & BROWN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 EAST MAIN ST
JACKSON OH
45640
US

IV. Provider business mailing address

260 E MAIN ST
JACKSON OH
45640-1745
US

V. Phone/Fax

Practice location:
  • Phone: 740-286-5022
  • Fax: 740-286-7000
Mailing address:
  • Phone: 740-286-5022
  • Fax: 740-286-7000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MARTI J STOVER
Title or Position: BILLING DEPARTMENT
Credential:
Phone: 740-286-5022