Brad J Lavallie OD

  • NPI 1003828740
According to our database, the NPI number for Brad J Lavallie OD is 1003828740 and activated since 17 years ago. Brad J Lavallie OD is an individual provider who specializes in Optometrist, and the primary practice location is 2253 W Mason St Ste 100, Green Bay, WI 54303. You can also contact Brad J Lavallie OD via telephone number is (920) 327-7000. Provider NPI information was last updated on 03/13/2017.

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Overview of Brad J Lavallie OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/12/2006
  • Last updated: 03/13/2017

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2706
  • License State: WI

Provider Mailing Address

  • Address: 164 N Broadway
    Green Bay, WI 54303
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 2253 W Mason St Ste 100
    Green Bay, WI 54303
  • Phone: 920-327-7000
  • Fax: 920-327-7005

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2706
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 38627900
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Brad J Lavallie OD?
  • A: The npi number for Brad J Lavallie OD is 1003828740.
  • Q: What are Brad J Lavallie OD's specialties?
  • A: Brad J Lavallie OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Brad J Lavallie OD?
  • A: The medical license number for Brad J Lavallie OD is 2706 and issued in WI in USA.
  • Q: Where is Brad J Lavallie OD practice location?
  • A: Brad J Lavallie OD is practicing at 2253 W Mason St Ste 100, Green Bay, WI 54303.
  • Q: How to contact Brad J Lavallie OD?
  • A: You can contact Brad J Lavallie OD via 920-327-7000.