Individual
DR. BRIAN SETH VANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
277 AVENUE C APT 10C, NEW YORK, NY 10009-2540
(479) 685-1234
Mailing address
277 AVENUE C APT 10C, NEW YORK, NY 10009-2540
(479) 685-1234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008353
NY
152WC0802X
Corneal and Contact Management Optometrist
008353
NY
152WP0200X
Pediatric Optometrist
008353
NY
152WS0006X
Sports Vision Optometrist
008353
NY
152WV0400X
Vision Therapy Optometrist
008353
NY
152WX0102X
Occupational Vision Optometrist
008353
NY
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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