Provider Demographics
NPI:1427106582
Name:BROWER, STANLEY FERREE (OD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:FERREE
Last Name:BROWER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-6824
Mailing Address - Country:US
Mailing Address - Phone:336-629-3107
Mailing Address - Fax:336-996-6185
Practice Address - Street 1:110 E WALKER AVE
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6824
Practice Address - Country:US
Practice Address - Phone:336-629-3107
Practice Address - Fax:336-996-6185
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0960152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC26278OtherSPECTERA
NC09115OtherBCBSNC
NC890921XMedicaid
NC246446Medicare ID - Type UnspecifiedOPTOMETRIST
NC890921XMedicaid
NC09115OtherBCBSNC
NCT64977Medicare UPIN