NPI 1093121659

Brandon Nicholas Terry, OD

Practitioner Optometrist Lebanon, IN

Practice location

Address: 1202 N Lebanon St, Lebanon, IN 46052-1510
Phone: (765) 482-1420
Fax: (765) 482-1461
Mailing address: 9795 Crosspoint Blvd STE 100, Indianapolis, IN 46256-3354

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003858A (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1093121659
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2014
Record last updated: 17 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.