Individual
DR. JOHN NORBERT BREIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
335 NEW TOWNE RD, BOWLING GREEN, KY 42103-7966
(270) 842-0383
(270) 842-0485
Mailing address
PO BOX 5000, BOWLING GREEN, KY 42102-5000
(270) 842-0383
(270) 842-0485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
833DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052155
ANTHEM
KY
01
—
1267730001
DMEOPS
KY
01
—
39417000
DAVIS VISION
KY
01
—
611338655-0118
NVA
KY
05
—
77008332
—
KY
01
—
KY0833
EYEMED VISION
KY
01
—
KY833
VISION BENEFITS AMERICA
KY
Enumeration date
07/21/2006
Last updated
01/07/2015
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