Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRANDY PETERSON, A.B.O.C., N.C.L.E.
Active Sole ProprietorOptician, Dispensing · THREE RIVERS, MI
Registration Details
- NPI Number
- 1366833865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2015 (11.21026884653 yrs)
- Last Updated
- Feb 5, 2015
- Licenses
-
156379 (MI)156379 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18511 SOUTH RIVER RD,THREE RIVERS, MI, 49093Browse MI providers · Browse ZIP 49093
- Phone
- 7346577543
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.