Whalio Doctors

NPI 1205065588

Andrea K Braden, OD

Practitioner Optometrist Shelby Township, MI

Practice location

Address
47670 van Dyke Ave, Shelby Township, MI 48317-3302
Phone
(586) 323-2020
Fax
(586) 323-4145
Mailing address
30150 Telegraph Rd STE 271, Bingham Farms, MI 48025-4521

Registered specialties (4)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901004563 (MI)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 5847 (OH)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1773DT (KY)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence T2761 (OH)

Registry record

NPI
1205065588
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jul 2009
Record last updated
12 Jun 2023

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.