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Individual

BRETT JOSEPH KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
744 E 3RD ST, BLOOMINGTON, IN 47405-3603
(812) 855-1344
(812) 855-1683
Mailing address
744 E 3RD ST, BLOOMINGTON, IN 47405-3603
(812) 855-1344
(812) 855-1683

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1532-3
KS
152W00000X
Optometrist
Primary
18003817A
IN
152W00000X
Optometrist
T03411
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201192970
IN
Enumeration date
05/10/2006
Last updated
01/12/2026
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