PAMELA G BROWN (NPI# 1578554234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578554234 |
| Entity Type | Individual |
| Full Name | PAMELA G BROWN |
| Credential | OD |
| Practice Address |
421 Camelot Dr Fond Du Lac WI 54935-8335 |
| Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9209268472 |
| Mailing Telephone | 9209268340 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2075 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38526800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786419 | Pamela Nicole Brown | Massage Therapist | 2711 Penbury Ct Apt 104, Woodbridge, VA 22191-4241 | 2020-10-05 |
| 1649734641 | Pamela Chapman Brown | Nurse Practitioner | 11013 Isadora Dr, Chesterfield, VA 23838-6241 | 2019-01-24 |
| 1558835686 | Pamela Brown | Counselor | 1320 Central Park Blvd Ste 200, Fredericksburg, VA 22401-4953 | 2019-01-11 |
| 1548752975 | Pamela Janice Brown | Social Worker | 6 Captain Dr Unit 443, Emeryville, CA 94608-1703 | 2018-06-01 |
| 1295236511 | Pamela Brown | Registered Nurse | 8282 Cambridge St Apt 2303, Houston, TX 77054-3130 | 2018-02-22 |
| 1841701976 | Pamela Brown | Physical Therapist | 2910 W Hazel St, Boise, ID 83703-5939 | 2017-10-16 |
| 1851832380 | Pamela Brown | Home Health Aide | 5205 Bass Pl Se, Apt. 203, Washington, DC 20019-6384 | 2017-03-16 |
| 1023567039 | Pamela Brown | Dietitian, Registered | 130 East Lockling, Brookfield, MO 64628-2337 | 2016-10-03 |
| 1780036335 | Pamela Jeannette Brown | Developmental Therapist | 310 Russell Brown Rd, Monticello, KY 42633-8650 | 2016-07-07 |
| 1306253224 | Pamela Brown | Specialist/Technologist | 20310 Chartwell Center Dr, Cornelius, NC 28031-5253 | 2014-07-14 |
| Street Address |
421 CAMELOT DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-8335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433435 | Elizabeth S Bensen | Physical Medicine & Rehabilitation | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2005-10-28 |
| 1962028522 | Kelley Cantu | Massage Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2020-06-19 |
| 1306473780 | Samantha Jo Krones | Physician Assistant | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2020-03-25 |
| 1962975292 | Tyler Schwarz | Specialist/Technologist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2019-01-09 |
| 1154808491 | Greta Marie Breckbill | Audiologist | 421 Camelot Dr, Fond Du Lac, WI 54935 | 2018-07-19 |
| 1861991424 | Jacklyn Osborne | Nurse Practitioner | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2018-02-08 |
| 1932620689 | Michael Schraufnagel | Physical Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-07-03 |
| 1477083608 | Tristan G Brown | Optometrist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-06-20 |
| 1306379433 | Ashley Beyer | Specialist/Technologist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-04-05 |
| 1417498254 | Allieson Elizabeth Mirsberger | Massage Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639241508 | George Boling | Optometrist | 835 W Johnson St, Spc. C07c Forest Mall, Fond Du Lac, WI 54935-8297 | 2006-11-15 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1649381518 | Mark Edward Veth | Optometrist | 437 N Pioneer Rd, Fond Du Lac, WI 54935-2087 | 2006-08-31 |
| 1518919596 | Carin M Lacount | Optometrist | 616 W Johnson St, Fond Du Lac, WI 54935-3134 | 2006-05-17 |
| 1992762835 | Nicole L Amidon | Optometrist | 459 W Johnson St, Fond Du Lac, WI 54935-3170 | 2006-04-26 |
| 1013994524 | Laura J Rau | Optometrist | 24 Deneveu Cir, Fond Du Lac, WI 54935-5457 | 2005-12-27 |
| 1558352146 | W P Zuege | Optometrist | 110 E Division St, Fond Du Lac, WI 54935-4369 | 2005-11-02 |
| 1376105700 | Cortney D Birschbach | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2019-07-06 |
| 1477083608 | Tristan G Brown | Optometrist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-06-20 |
| 1295186690 | Jessica Kulick | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2016-06-27 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.