Provider Demographics
NPI:1972213197
Name:BROWN, ALAYNA JORDAN (OD)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:JORDAN
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 1:5615B JACKSON ST EXT STE B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2275
Mailing Address - Country:US
Mailing Address - Phone:318-442-7787
Mailing Address - Fax:318-443-1654
Practice Address - Street 1:5615B JACKSON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2275
Practice Address - Country:US
Practice Address - Phone:318-442-7787
Practice Address - Fax:318-443-1654
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
156FX1800X
LA1978-924AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician