Individual
DR. LANDON BLANE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 COMMONWEALTH DR, MAYFIELD, KY 42066-6845
(270) 247-2417
(270) 247-2090
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1917DT
KY
Other
Enumeration date
07/22/2013
Last updated
03/14/2017
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