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Mrs. Brandy Peterson, ABOC,NCLE
Optician in Three Rivers, Michigan
NPI 1366833865

Brandy Peterson is a Optician based in Three Rivers, MI and is specialized in Optician. Brandy Peterson practices in Three Rivers, MI and has the professional credentials of ABOC,NCLE. The NPI Number for Brandy Peterson is 1366833865 and holds a License No. 156379 (Michigan).

The current practice location address for Brandy Peterson is 18511 South River Rd,, Three Rivers, MI and can be reached out via phone at 734-657-7543.

Location: 18511 South River Rd,, Three Rivers, MI, 49093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366833865
Provider Name
Brandy Peterson
Credential
ABOC,NCLE
Provider Entity Type
Individual
Gender
Female
Address
18511 South River Rd,, Three Rivers, MI, 49093
Phone Number
734-657-7543
Fax Number
Provider Enumeration Date
02/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18511 South River Rd,
City
Three Rivers
State
Michigan
Zip
49093
Phone Number
734-657-7543
Fax Number
person
Provider Business Mailing Address Details
Address
18511 South River Rd,
City
Three Rivers
State
Michigan
Zip
49093
Phone Number
734-657-7543
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
156379 (Michigan)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
156379 (Michigan)
Definition
Definition to come...
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