Organization
BRAATEN FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS RICHARD BRAATEN O.D. (MEMBER)
(812) 944-2021
Entity
Organization
Contact information
Practice address
3602 NORTHGATE CT, STE 29, NEW ALBANY, IN 47150-6417
(812) 944-2021
(812) 945-0412
Mailing address
3602 NORTHGATE CT, STE 29, NEW ALBANY, IN 47150-6417
(812) 944-2021
(812) 945-0412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003432A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200844370A
—
IN
Enumeration date
12/15/2006
Last updated
08/12/2011
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