Individual
DR. BRANT TREGELLAS MOLENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3546 RIDGE ROAD, LANSING, IL 60438
(708) 474-0078
(708) 474-0141
Mailing address
3546 RIDGE RD, LANSING, IL 60438-3146
(708) 474-0078
(708) 474-0141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002644
IN
152W00000X
Optometrist
46008622
IL
152W00000X
Optometrist
T1494
TN
Other
Enumeration date
09/20/2006
Last updated
11/13/2025
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