Individual
BRANDEN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9202 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46260-1810
(317) 841-2020
Mailing address
9202 N MERIDIAN ST, INDIANAPOLIS, IN 46260-1800
(630) 536-9130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004236A
IN
Other
Enumeration date
07/11/2019
Last updated
01/23/2024
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