Individual
LYNN BRANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
21 TORREY ST, BROCKTON, MA 02301-4849
(508) 587-8344
Mailing address
11 KENNEDY ROAD, SHARON, MA 02067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3580
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027835
NHP
MA
05
—
0335380
—
MA
01
—
W16283
BCBS
MA
Enumeration date
12/04/2006
Last updated
07/08/2007
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