MRS. BRANDY PETERSON A.B.O.C. N.C.L.E. NPI 1366833865

NPI Information

NPI: 1366833865
Provider Name: MRS. BRANDY PETERSON, A.B.O.C., N.C.L.E.
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
18511 SOUTH RIVER RD,
THREE RIVERS, MI
ZIP 49093
Phone: (734) 657-7543
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MRS. Brandy Peterson, A.B.O.C., N.C.L.E. is an optician technician technologist in Three Rivers, MI. MRS. Brandy Peterson, A.B.O.C., N.C.L.E. NPI is 1366833865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18511 SOUTH RIVER RD,
THREE RIVERS, MI
ZIP 49093
Phone: (734) 657-7543

The enumeration date for this NPI number is 2/5/2015 and was last updated on 2/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FC0801X	Technician/Technologist	Contact Lens Fitter	156379	MICHIGAN	No
2	156FX1800X	Technician/Technologist	Optician	156379	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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