Organization
BREWER VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANDON BREWER O.D. (OWNER)
(270) 640-7670
Entity
Organization
Contact information
Practice address
14800 FORT CAMPBELL BLVD, OAK GROVE, KY 42262-8304
(270) 640-7670
Mailing address
14800 FORT CAMPBELL BLVD, OAK GROVE, KY 42262-8304
(270) 640-7670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1917DT
KY
Other
Enumeration date
07/31/2013
Last updated
08/24/2013
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