Brett Joseph King O.D.

NPI 1083663488 - Optometrist - 152W00000X

NPI Details
NPI 1083663488
Gender Male
Enumeration Date 05/10/2006
Last Updated 10/21/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
744 E 3RD ST
BLOOMINGTON IN, 47405-3603, US
Phone (812) 855-1344
Fax (812) 855-1683
Business Location
744 E 3RD ST
BLOOMINGTON IN, 47405-3603, US
Phone (812) 855-1344
Fax (812) 855-1683
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number T03411
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According to our database, Brett Joseph King O.D. NPI is 1083663488, taxonomy code is 152W00000X and license number is T03411, license state is located at Missouri. Brett Joseph King O.D. physically located at 744 E 3rd St, Bloomington IN, 47405-3603. NPI Number Brett Joseph King O.D. has the Individual type.

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1083663488 NPI number is provided on an as is basis without warranty of any kind. 1083663488 is maintained by the National Plan & Provider Enumeration System. The contents of Brett Joseph King O.D. are for informational purposes only.