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Organization
TODD R. BRANTLEY, O.D., P.A.
Active
Organization
TODD R. BRANTLEY, O.D., P.A.
Active
Other names
Lone Star Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD R. BRANTLEY O.D. (OWNER)
(972) 378-4104
Entity
Organization
Contact information
Practice address
5044 TENNYSON PKWY STE B, PLANO, TX 75024-2953
(972) 378-4104
(972) 378-9094
Mailing address
5044 TENNYSON PKWY STE B, PLANO, TX 75024-2953
(972) 378-4104
(972) 378-9094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5711TG
TX
Other
Enumeration date
02/22/2008
Last updated
06/19/2019
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