Organization
SARAH P. BRANNON OD PC
Active
Other names
William R Kossol OD PC, CHANCELLOR EYE CARE, William R Kossol OD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH PILAT BRANNON OD (PRESIDENT/OPTOMETRIST)
(540) 785-3937
Entity
Organization
Contact information
Practice address
12100 KENNEDY LANE, SUITE 206, FREDERICKSBURG, VA 22407
(540) 785-3937
(540) 785-5498
Mailing address
12100 KENNEDY LANE, SUITE 206, FREDERICKSBURG, VA 22407
(540) 785-3937
(540) 785-5498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000074
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09235591
—
VA
01
—
170333
AVESIS PROVIDER
VA
01
—
2150133
FIRST HEALTH/MAILHANDLERS
VA
01
—
32467
MAMSI /UNITED HEALTHCARE
VA
01
—
4091903
AETNA PROVIDER
VA
01
—
410048278
MEDICARE RAILROAD
VA
01
—
452927
ANTHEM BC/BS PROVIDER
VA
01
—
5161390001
DMES/ MEDICARE SUPPLIES
VA
01
—
902137
BLOCK PROVIDER
VA
Enumeration date
08/09/2006
Last updated
12/01/2025
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