MEDICARE: DR. LEE J BROWNING 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	TO3328	MO
2	152W00000X	Optometrist	46-009068	IL
3	152W00000X	Optometrist	1474-3	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437264405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE J BROWNING O.D.

Provider Business Mailing Address
First Line	:	2311 MCKELVEY RD
Second Line	:
City	:	MARYLAND HEIGHTS
State	:	MO
Zip	:	63043-1531
Country	:	US
Telephone Number	:	314-434-9450
Fax Number	:	314-434-0151

Provider Business Practice Location Address
First Line	:	2311 MCKELVEY RD
Second Line	:
City	:	MARYLAND HEIGHTS
State	:	MO
Zip	:	63043-1531
Country	:	US
Telephone Number	:	314-434-9450
Fax Number	:	314-434-0151

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	12/05/2013

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