Active NPI
Cherry Brannum
- Optician
- Mount Dora, FL
National Provider Identifier
1346933884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 03588
- Practice address
- 17030 US Highway 441
Mount Dora, FL 32757-6733 - Phone
- (352) 735-5900
- Fax
- (352) 735-0218
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 03588 | FL | Primary |
Addresses
Primary practice location
17030 US Highway 441
Mount Dora, FL 32757-6733
Mailing address
17030 US Highway 441
Mount Dora, FL 32757-6733
Phone (352) 735-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03588 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1346933884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17030 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576733",
"telephone_number": "352-735-5900",
"fax_number": "352-735-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17030 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576733",
"telephone_number": "352-735-5900",
"fax_number": "352-735-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNUM",
"first_name": "CHERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "03588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.