MR. BRANT WILLIAM FECHTER (NPI# 1891002010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891002010 |
| Entity Type | Individual |
| Full Name | MR. BRANT WILLIAM FECHTER |
| Credential | OPTOMETRY TECH |
| Practice Address |
123 Missouri Ave., Eent Clinic Jeneral Leonard Wood Army Community Hospital Fort Leonard Wood MO 65473 |
| Mailing Address |
126 Missouri Ave., Eent Clinic Jeneral Leonard Wood Army Community Hospital Fort Leonard Wood MO 65473 |
| Practice Telephone | 5735960131 |
| Practice Fax Number | 5735960086 |
| Mailing Telephone | 5735960131 |
| Mailing Fax Number | 5735960086 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1202X |
Technician/Technologist Specialization: Optometric Technician |
Eye and Vision Services Providers |
| Street Address |
123 MISSOURI AVE., EENT CLINIC JENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 156FX1202X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optometric Technician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689971673 | Christina Blandon Clymer | Technician/Technologist | 4430 Missouri Ave # 1263, Fort Leonard Wood, MO 65473-9098 | 2011-02-28 |
| 1346557568 | Marinda Ann Earl | Technician/Technologist | 123 Missouri Ave. Eent Clinic, Jeneral Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473 | 2010-09-09 |
| 1700192937 | Jennifer Lynn Degon | Technician/Technologist | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700193174 | Erin Renee Burnette | Technician/Technologist | 126 Missouri Ave, Ft. Leonard Wood, MO 65473 | 2010-09-08 |
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
Please comment or provide details below to improve the information on MR. BRANT WILLIAM FECHTER.
| 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.