Individual
DR. NHUNG H. BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
20 GLENLAKE PARKWAY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328
(770) 952-6412
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1655
GA
152W00000X
Optometrist
3091
FL
152W00000X
Optometrist
Primary
OPT001655
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207407180A
—
GA
05
—
207407180B
—
GA
05
—
207407180C
—
GA
01
—
21211586
UHC
GA
01
—
40927
SPECTERA
GA
01
—
52797520006
BLUE CROSS BLUE SHIELD
GA
01
—
581594648
PHCS
GA
01
—
582228848
VCP, CHEROKEE & DAWSON EY
GA
01
—
7709526412
VISION SERVICE PLAN
GA
01
—
7709526413
VSP, MARK DICKINSON, OD
GA
01
—
GA1655
EYEMED
GA
Enumeration date
03/31/2006
Last updated
03/29/2022
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