Individual
BRIANNA D NIEHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2045 VIRGINIA AVE, CONNERSVILLE, IN 47331-2921
(765) 825-6000
(765) 825-3075
Mailing address
2045 VIRGINIA AVE, CONNERSVILLE, IN 47331-2921
(765) 825-6000
(765) 825-3075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004167A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028108
—
IN
Enumeration date
06/17/2019
Last updated
02/25/2021
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