MEDICARE: LEN AARON 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	OPC1143	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6624982	OTHER	FL	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	19141	OTHER	FL	BLUE CROSS BLUE SHIELD
4	7198490	OTHER	FL	AEGNA

General Provider Information

NPI Number	:	1245293364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEN AARON BROWN O.D.

Provider Business Mailing Address
First Line	:	1360 E VENICE AVE
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-9066
Country	:	US
Telephone Number	:	941-488-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1537 BRANTLEY RD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3923
Country	:	US
Telephone Number	:	239-481-7799
Fax Number	:

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	02/24/2022

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Directions to “ LEN AARON BROWN O.D.” Practice Location

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