Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Denise Brown, ODP

Individual provider Optometrist · NPI 1992321327

Marisa Denise Brown, ODP is an Optometry in Boise, Idaho. Graduated from Illinois College of Optometry at Chicago in 2020, 6 years ago. Practices with Moscow Family Eye Care Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Trained at
Illinois College of Optometry at Chicago
Licensed in
ID
In the registry since
2020
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Practice location Address checks out

11513 W Fairview Ave Ste 106
Boise, ID 83713-7887
Phone: (208) 322-8439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 100511 (ID)

Record details

NPI number1992321327
Entity typeIndividual (Type 1)
GenderFemale
Credentials ODP
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2020 (6 years in practice)
Group practice Moscow Family Eye Care Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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