Individual
BRIAN PATRICK SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2351
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122489
HEALTHLINK
MO
01
—
2202100
UNITED HEALTH CARE
MO
01
—
233006
GROUP HEALTH PLAN
MO
05
—
310206214
—
MO
01
—
32218
BLUE CROSS BLUE SHIELD
MO
Enumeration date
05/31/2005
Last updated
06/08/2020
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