Organization
CHRISTOPHER W BRACKETT OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER W BRACKETT OD (OPTOMETRIST)
(812) 589-8018
Entity
Organization
Contact information
Practice address
4405 BELLEMEADE AVE STE 101, EVANSVILLE, IN 47714-0682
(812) 474-1010
Mailing address
4405 BELLEMEADE AVE STE 101, EVANSVILLE, IN 47714-0682
(812) 474-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231380A
—
IN
Enumeration date
10/12/2020
Last updated
10/12/2020
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