Individual
DR. SCOTT ROBERT BRANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5826 RUEBUSH RD, DUBLIN, VA 24084-2252
(540) 674-6824
(540) 674-8916
Mailing address
5826 RUEBUSH RD, 4668 LEE HIGHWAY, DUBLIN, VA 24084-2252
(540) 674-6824
(540) 674-8916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
061800018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010138833
—
VA
01
—
11525557
CAQH CREDENTIALING CENTER
VA
Enumeration date
08/04/2006
Last updated
03/13/2017
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