Individual
BRANDON JAMES TIBBITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2509 MAIN ST, ALAMOSA, CO 81101-2239
(719) 589-0825
Mailing address
2509 MAIN ST, ALAMOSA, CO 81101-2239
(719) 589-0825
(719) 589-1061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2922
CO
152W00000X
Optometrist
T3002
TN
Other
Enumeration date
08/01/2011
Last updated
01/25/2024
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