Provider Demographics
NPI:1932102571
Name:BROWN, SARA (OD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5177 RICHMOND AVE
Mailing Address - Street 2:SUITE 780
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6752
Mailing Address - Country:US
Mailing Address - Phone:713-349-0224
Mailing Address - Fax:713-349-9834
Practice Address - Street 1:5177 RICHMOND AVE
Practice Address - Street 2:SUITE 780
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-6707
Practice Address - Country:US
Practice Address - Phone:713-349-0224
Practice Address - Fax:713-349-9834
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5760TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038444801Medicaid
TX112409104Medicaid
TX038444801Medicaid
TX00E63GMedicare UPIN
TX6982360001Medicare NSC
TXPO1231978Medicare PIN
TX264946YRSAMedicare PIN