Brennan Wells, LICENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

9584268 Issued in NY

Practice address

341 State Route 104
Oswego, NY 13126-2911

Phone

(315) 207-7044

Fax

(315) 343-5165

NPI assigned

Dec 18, 2017

Last updated

Dec 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1346756087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 STATE ROUTE 104",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262911",
            "telephone_number": "315-207-7044",
            "fax_number": "315-343-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 STATE ROUTE 104",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262911",
            "telephone_number": "315-207-7044",
            "fax_number": "315-343-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BRENNAN",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "9584268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Drug of Pulaski, Inc
• Jo Anne Weaver, PT, DPT
• Jocelyn Webster
• Greta Sofie Weiss
• Wellnow Urgent Care, PC (WellNow Urgent Care)
• Carlyanna M Wells, MS, LMHC
• Felicia Wells, MS ED.
• Katie Lynn Wheat, DNP
• El Leora White
• Yvonne M White, RN

• Optician in Oswego, NY
• Providers in Oswego, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.