Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MEDRO JOSEPH BRODEUR III, OD
Active Sole ProprietorDR. MEDRO JOSEPH BRODEUR III, OD is a Optometrist healthcare provider located in OWENSVILLE, Missouri. NPI 1821068487 is currently active in the NPPES registry. Verify at CMS.
Optometrist · OWENSVILLE, MO
Registration Details
- NPI Number
- 1821068487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2006 (20.590146428593 yrs)
- Last Updated
- Aug 4, 2016
- License
-
T02435 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
531 E WASHINGTON AVEOWENSVILLE, MO, 650661410Browse MO providers · Browse ZIP 65066
- Phone
- 5734378004
- Fax
- 5734378004
- Primary Specialty
-
Optometrist
152W00000X
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.