Darrell Lawrence Brautigam in Morrow - Optometrist

Darrell Lawrence Brautigam - NPI 1467454272

Darrell Lawrence Brautigam is a Optometrist in Morrow, Georgia. Darrell Lawrence Brautigam practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Darrell Lawrence Brautigam is 1467454272. The last update date is 2009-05-18.

Darrell Lawrence Brautigam's current location address is 7175 Jonesboro Rd, Morrow, Georgia. You can contact this provider via phone number 7709612020 and fax number 7709680854. The mailing address for Darrell Lawrence Brautigam is 7175 Jonesboro Rd, Morrow, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Darrell Lawrence Brautigam
Address 7175 Jonesboro Rd, Morrow, Georgia
Phone Number 7709612020
Fax Number 7709680854
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1467454272
Provider Enumeration Date 2005-08-11
Last Updated Date 2009-05-18

Provider Mailing Address Detail

Address 7175 Jonesboro Rd
City Morrow
State Georgia (GA)
Post Code 302602943
Phone Number 7709612020
Fax Number 7709680854

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 683T
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
55000122A GA --

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FAQs about Darrell Lawrence Brautigam

What is the unique identification code assigned to Darrell Lawrence Brautigam by the Centers for Medicare & Medicaid Services?

The Darrell Lawrence Brautigam has been issued the NPI (National Provider Identifier) 1467454272. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Darrell Lawrence Brautigam's facilities are situated?

The facilities of Darrell Lawrence Brautigam are physically located at the following address: 7175 Jonesboro Rd, Morrow, GA, 302602943.

What is Darrell Lawrence Brautigam's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Darrell Lawrence Brautigam is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1467454272 to Darrell Lawrence Brautigam?

The Centers for Medicare & Medicaid Services assigned the 1467454272 to Darrell Lawrence Brautigam on 2005-08-11.

As of what date were the details pertaining to Darrell Lawrence Brautigam last refreshed?

The information related to the Darrell Lawrence Brautigam, including its address, specialty, and other relevant details, was last updated on 2009-05-18.

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