| Dr Paul B Brown, OD, MS, FAAO | |
|
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
| (210) 292-6255 | |
| (210) 292-5638 |
| Full Name | Dr Paul B Brown |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164088266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9761T (Texas) | Primary |
| Provider Name | University Of The Incarnate Word |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul B Brown, OD, MS, FAAO 5615 Cypress Dawn, San Antonio, TX 78253-6267 Ph: (580) 313-0307 | Dr Paul B Brown, OD, MS, FAAO 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255 |
Dr. Lisa Leader Kohler, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-2385 | |
Daniel K Gullekson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1055 | |
Dr. Ethan C Woodbury, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934 | |
Dr. Diego L Vega, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4233 Fax: 210-292-2313 | |
Matt Sin Valdes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 433 Aerospace Medicine Sq, Jbsa Lackland, TX 78236 Phone: 210-925-7850 | |
Roxana Carol Gomez, Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934 |