Provider Demographics
NPI:1053391276
Name:BROWN, SHERRI LYNN (OD)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1616 CLEAR LAKE CITY BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-8068
Mailing Address - Country:US
Mailing Address - Phone:281-286-4343
Mailing Address - Fax:281-286-4344
Practice Address - Street 1:1616 CLEAR LAKE CITY BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8068
Practice Address - Country:US
Practice Address - Phone:281-286-4343
Practice Address - Fax:281-286-4344
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6062TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83668EMedicare PIN