Individual
DR. BRANDON NICHOLAS TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1202 N LEBANON ST, LEBANON, IN 46052-1510
(765) 482-1420
(765) 482-1461
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003858A
IN
Other
Enumeration date
07/03/2014
Last updated
07/17/2014
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