HAROLD BERNARD BREWER JR. (NPI# 1659612836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659612836 |
Entity Type | Individual |
Full Name | HAROLD BERNARD BREWER JR. |
Credential | A.B.O.C. |
Practice Address |
1171 Johns Mayton Rd Brandon MS 39042-8364 |
Mailing Address |
Po Box 430 Brandon MS 39043-0430 |
Practice Telephone | 6015198209 |
Enumeration Date | 2013-03-12 |
Last Update Date | 2014-04-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | AMERICAN BOARD OF OPTICIANRY | 006574 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750445078 | Harold Eugene Brewer | Dentist | 212 E Winslow Rd, Bloomington, IN 47401-8657 | 2006-12-21 |
1124163399 | Harold Scott Brewer | Pharmacist | 2124 Fayetteville Rd, Suite E, Rockingham, NC 28379-4015 | 2007-02-21 |
Street Address |
1171 JOHNS MAYTON RD |
City | BRANDON |
State | MS |
Zip Code | 39042-8364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
Find all providers in zip 39042 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093849259 | Shawn Carson | Technician/Technologist | 201 S Kings Ave Ste 4, Brandon, FL 33511-5722 | 2007-03-16 |
1205919701 | Wal-mart Stores East, Lp | Technician/Technologist | 5341 Highway 25, Brandon, MS 39047-7673 | 2006-10-20 |
1881113900 | Nationwide Vision Center, Inc. | Technician/Technologist | 331 Brandon Town Center Mall, Inside Jcpenney, Brandon, FL 33511-4723 | 2017-09-11 |
1932568136 | Family Vision Enterprises Inc | Technician/Technologist | 1929a W Brandon Blvd, Brandon, FL 33511-4813 | 2016-02-16 |
1114304326 | National Vision, Inc. | Technician/Technologist | 11391 Causeway Blvd, Brandon, FL 33511-2904 | 2015-04-27 |
1174724496 | Frank D Plumb | Technician/Technologist | 1933 W Brandon Blvd, Brandon, FL 33511-4813 | 2007-05-31 |
1538360201 | Family Vision Inc | Technician/Technologist | 1933 W Brandon Blvd, Brandon, FL 33511-4813 | 2007-05-30 |
1104948793 | Precision Optical Dispensary, Inc. | Technician/Technologist | 1490 West Government Street Suite 8, Precision Optical Dispensary, Inc., Brandon, MS 39042 | 2007-04-04 |
1174617377 | Wal-mart Stores East, Lp | Technician/Technologist | 1208 E Brandon Blvd, Brandon, FL 33511-5529 | 2006-10-03 |
1598857021 | Wal-mart Stores East, Lp | Technician/Technologist | 11110 Causeway Blvd, Brandon, FL 33511-2900 | 2006-09-29 |
Find all providers in BRANDON |
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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.