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
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 18511 SOUTH RIVER RD,
    THREE RIVERS, MI
    ZIP 49093
  • Phone: (734) 657-7543

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NPI Details

MRS. Brandy Peterson, A.B.O.C., N.C.L.E. is an optician technician technologist in Three Rivers, MI. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. 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
1156FC0801XTechnician/TechnologistContact Lens Fitter156379MICHIGANNo
2156FX1800XTechnician/TechnologistOptician156379MICHIGANYes

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: 11/21/2025

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