NPI 1366494049 · live from the CMS NPI Registry
Laura A Branstetter, OD
Optometrist in Derby, KS. National Provider Identifier 1366494049, active.
NPI record
| NPI | 1366494049 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1105 N Buckner St, Derby, KS 67037 |
| Practice phone | 316-788-9290 |
| Enumerated | May 17, 2006 |
| Last updated | January 27, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1321-3 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.