Brett David Mcdonough in Chattanooga - Optometrist
Brett David Mcdonough - NPI 1063504108
Brett David Mcdonough is a Optometrist in Chattanooga, Tennessee. Brett David Mcdonough practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brett David Mcdonough is 1063504108. The last update date is 2012-04-12.
Brett David Mcdonough's current location address is Po Box 21821, Chattanooga, Tennessee. You can contact this provider via phone number 4238999125 and fax number 4238999030. The mailing address for Brett David Mcdonough is Po Box 21821, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brett David Mcdonough |
|---|---|
| Address | Po Box 21821, Chattanooga, Tennessee |
| Phone Number | 4238999125 |
| Fax Number | 4238999030 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1063504108 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2012-04-12 |
Provider Mailing Address Detail
| Address | Po Box 21821 |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374240821 |
| Phone Number | 4238999125 |
| Fax Number | 4238999030 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODT1825 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025073 | PHP | ||
| 3941806 | TN | -- | |
| 4035668 | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Brett David Mcdonough by the Centers for Medicare & Medicaid Services?
The Brett David Mcdonough has been issued the NPI (National Provider Identifier) 1063504108. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brett David Mcdonough is physically located?
The Brett David Mcdonough is physically situated at the following address: Po Box 21821, Chattanooga, TN, 374240821.
What is the area of specialization for Brett David Mcdonough, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brett David Mcdonough is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063504108 to Brett David Mcdonough?
The Centers for Medicare & Medicaid Services originally issued the 1063504108 to Brett David Mcdonough on 2006-09-28.
As of what date were the details related to Brett David Mcdonough most recently updated or revised?
The information pertaining to Brett David Mcdonough, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-12.