Individual
MS. BRENDA ANN WAINWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
851 E 23RD ST, PANAMA CITY, FL 32405-5311
(850) 215-3937
(850) 215-3937
Mailing address
401 ELM AVE, PANAMA CITY, FL 32401-4767
(850) 215-3937
(850) 215-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC-3749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203404651
TRICARE
FL
01
—
68166
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/19/2005
Last updated
01/16/2012
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