Whalio Doctors

NPI 1588970479

Brianne Marie Luck

Practitioner Optometric Technician Jefferson City, MO

Practice location

Address
2813 Kenborg Hls, Jefferson City, MO 65109-1002
Phone
(573) 353-2760

Registered specialties (3)

Optometric Technician Primary
Eye and Vision Services Providers Taxonomy 156FX1202X
Basic Emergency Medical Technician
Emergency Medical Service Providers Taxonomy 146N00000X Licence B1775413 (TX)
Ophthalmic Assistant
Eye and Vision Services Providers Taxonomy 156FX1101X

Registry record

NPI
1588970479
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Aug 2010
Record last updated
30 Aug 2010

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.