Individual
DR. BRIAN M RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007907
NY
152W00000X
Optometrist
2903
CT
152WV0400X
Vision Therapy Optometrist
007907
NY
152WV0400X
Vision Therapy Optometrist
2903
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03548634
—
NY
Enumeration date
08/09/2012
Last updated
12/30/2022
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