Lauer, Brendon Lloyd

Lauer, Brendon Lloyd is an sole proprietor health care provider with primary practice located at 1500 Harvey Rd Suite #16, College Station TX 77840-3713. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lauer, Brendon Lloyd can be contacted via phone (979) 693-8476.

Contact Information

Primary practice address
1500 Harvey Rd Suite #16 College Station TX 77840-3713
Fax: (979) 764-9226
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5208T Texas

Profile Details

NPI number 1609880509
LBN Legal business name Lauer, Brendon Lloyd
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609880509 NPPES
Texas MEDICAID 0298283-01

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