Individual
BRIDGET BRADY NAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 COLONY LANE, LATROBE, PA 15650
(724) 537-9258
(724) 537-9271
Mailing address
100 COLONY LANE, LATROBE, PA 15650
(724) 537-9258
(724) 537-9271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001363
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01969071
—
PA
01
—
21308
SPECTERA
PA
01
—
44125
DAVIS VISION
PA
Enumeration date
09/19/2006
Last updated
07/08/2007
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