DR. GREGORY RAY BRANNON (NPI# 1063578169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063578169 |
| Entity Type | Individual |
| Full Name | DR. GREGORY RAY BRANNON |
| Credential | O.D. |
| Practice Address |
165 Main Ave Weston WV 26452-1944 |
| Practice Telephone | 3042694456 |
| Practice Fax Number | 3042694468 |
| Mailing Telephone | 3042694456 |
| Mailing Fax Number | 3042694468 |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 667OD | WV | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | DEA NUMBER | MB0091227 | 01 |
| WV | 0150025000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962589374 | Gregory Joseph Brannon | Obstetrics & Gynecology | 530 New Waverly Pl, Suite 301, Cary, NC 27511-7414 | 2006-11-01 |
| Street Address |
165 MAIN AVE |
| City | WESTON |
| State | WV |
| Zip Code | 26452-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699831792 | Judith Eileen Brannon | Optometrist | 165 Main Ave, Weston, WV 26452-1944 | 2006-12-31 |
| 1952467052 | Drs. Brannon & Brannon, Optometrists, P.C. | Optometrist | 165 Main Ave, Weston, WV 26452-1944 | 2006-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356839120 | Vision Optique II LLC | Optometrist | 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 | 2018-04-27 |
| 1558710228 | Shannon Joseph | Optometrist | 825 Crestview Cir, Weston, FL 33327-1847 | 2016-06-03 |
| 1548493935 | Julie Abraham | Optometrist | 2863 Executive Park Dr., Suite 103, Weston, FL 33331 | 2009-09-01 |
| 1548470297 | Jesus Cuevas | Optometrist | 1608 Town Center Boulevard, Suite C, Weston, FL 33327 | 2007-05-23 |
| 1003943242 | Jennifer Elaine Lage | Optometrist | 1608 Town Center Cir Ste C, Weston, FL 33326-3639 | 2007-02-27 |
| 1396896890 | Monica Ginsberg | Optometrist | 2523 Monterey Ct, Weston, FL 33327-1509 | 2007-01-13 |
| 1043383755 | Stine Eye Center, LLC | Optometrist | 4009 Community Center Drive, #100, Weston, WI 54476 | 2006-11-17 |
| 1528019775 | Maryam Fattahy | Optometrist | 407 Boston Post Rd, Weston, MA 02493-1552 | 2006-05-12 |
| 1447208780 | David Shepard Forrest | Optometrist | 2616 Oakbrook Ct, Weston, FL 33332-3440 | 2006-05-05 |
| 1740267129 | Charles Douglas Stine | Optometrist | 4009 Community Center Dr, Weston, WI 54476-4139 | 2005-12-28 |
| Find all providers in WESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.