Brackett, Christopher W

Brackett, Christopher W is an individual health care provider with primary practice located at 4405 Bellemeade Ave Ste 101 , Evansville IN 47714-0682. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brackett, Christopher W can be contacted via phone (812) 474-1010.

Contact Information

Primary practice address
4405 Bellemeade Ave Ste 101 Evansville IN 47714-0682
Phone: (812) 474-1010
Fax: (812) 485-2476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003248A Indiana

Profile Details

NPI number 1548261746
LBN Legal business name Brackett, Christopher W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548261746 NPPES
Indiana Other 000000368900 ANTHEM BLUE CROSS BLUE SH
Indiana Other 000000501907 ANTHEM BLUE CROSS BLUE SH
Indiana Other P00277379 ANTHEM BLUE CROSS BLUE SH
Indiana MEDICAID 200434020A ANTHEM BLUE CROSS BLUE SH

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