Bryan D Granger OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1366-535T Issued in LA

Legal business name

BRYAN D GRANGER OD PC

Practice address

1110 Angers St
New Iberia, LA 70563-2012

Phone

(337) 364-0425

Fax

(337) 364-0426

NPI assigned

Mar 19, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryan D Granger, ODNPI 1497853782

Title

President

Phone

(337) 364-0425

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan D Granger, OD

  • Optometrist
  • New Iberia, LA
  • NPI 1497853782
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1154592947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ANGERS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632012",
            "telephone_number": "337-364-0425",
            "fax_number": "337-364-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ANGERS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632012",
            "telephone_number": "337-364-0425",
            "fax_number": "337-364-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN D GRANGER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-364-0425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1366-535T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennell P Brown Jr., D.D.S.
• Lionel Brown
• Nicholas Brown
• Quintin Brown Christopher Cronin Brown, PHARMD
• Tiffany Brown, LPC
• Bryant Chiropractic Clinic
• Bryant Medical Group LLC
• Kaylee Bullen
• Cathleen Rhae Burgess, FNP-C
• Elson Burgess, PTA

• Optometrist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.