Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRITTANY RAE DISTERHEFT, OD
ActiveMRS. BRITTANY RAE DISTERHEFT, OD is a Optometrist healthcare provider located in CEDAR LAKE, Indiana. NPI 1760906135 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CEDAR LAKE, IN
Registration Details
- NPI Number
- 1760906135
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2017 (9.0435394112542 yrs)
- Last Updated
- Aug 30, 2021
- License
-
18004052A (IN)
Practice Information
- Address
-
13115 WICKER AVE STE ECEDAR LAKE, IN, 463037400Browse IN providers · Browse ZIP 46303
- Phone
- 2193747800
- Fax
- 2193745196
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CEDAR LAKE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. KAITLYN RENAE GIBSON | OD | 1992319719 |
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.