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General NPI Number Information
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NPI Number | 1578310363
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Entity Type | Organization
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Legal Business Name | BROWN EYE CARE, PLLC
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Dates
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Enumeration Date | 05/01/2024
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 1100 5TH AVE
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City | HAMMOND
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State | IN
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Zip | 46320-1002
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Country | US
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Telephone | 219-370-5007
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Fax |
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Provider Business Mailing Address
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Address Line | 5320 N SHERIDAN RD APT 605
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City | CHICAGO
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State | IL
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Zip | 60640-7335
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Country | US
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Telephone | 312-835-1098
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SONTKILEO BROWN
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Credential | OD
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Telephone | 312-835-1098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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