Individual
BRANDON LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4020 W PLANO PKWY, PLANO, TX 75093-5613
(469) 999-2747
(469) 606-0925
Mailing address
250 AVENUE K SW STE 200, WINTER HAVEN, FL 33880-3919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10779T
TX
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
10779T
TX
Other
Enumeration date
02/24/2023
Last updated
10/15/2025
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