Individual
JENNIFER J BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5274 SALEM AVE, TROTWOOD, OH 45426-1702
(937) 837-3937
(937) 815-1067
Mailing address
5274 SALEM AVE, TROTWOOD, OH 45426-1702
(937) 837-3937
(937) 815-1067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6075-T2990
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050746
—
OH
01
—
6075-T2990
OHIO OPTOMETRY LICENSE
OH
Enumeration date
07/11/2011
Last updated
04/16/2026
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