Individual
DR. CHRISTOPHER W BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4405 BELLEMEADE AVE STE 101, EVANSVILLE, IN 47714-0682
(812) 474-1010
(812) 485-2476
Mailing address
4405 BELLEMEADE AVE, SUITE 101, EVANSVILLE, IN 47714-0682
(812) 474-1010
(812) 485-2476
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368900
ANTHEM BLUE CROSS BLUE SH
IN
01
—
000000501907
ANTHEM BLUE CROSS BLUE SHIELD
IN
05
—
200434020A
—
IN
01
—
P00277379
RAILROAD MEDICARE
IN
Enumeration date
08/10/2005
Last updated
10/12/2020
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