Individual
DR. JOHN PHILIP BRANDT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
947 BELLEFONTE AVE, LOCK HAVEN, PA 17745-3033
(570) 748-7751
(570) 748-3967
Mailing address
947 BELLEFONTE AVE, PO BOX 9, LOCK HAVEN, PA 17745-3033
(570) 748-7751
(570) 748-3967
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000568
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012718120001
—
PA
Enumeration date
08/01/2006
Last updated
01/14/2010
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