Judith Eileen Brannon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

668OD Issued in WV

Practice address

165 Main Ave
Weston, WV 26452-1944

Phone

(304) 269-4456

Fax

(304) 269-4468

NPI assigned

Dec 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eileen Perrin Brannon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699831792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN AVE",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521944",
            "telephone_number": "304-269-4456",
            "fax_number": "304-269-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN AVE",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521944",
            "telephone_number": "304-269-4456",
            "fax_number": "304-269-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "JUDITH",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "668OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "BRANNON",
            "middle_name": "PERRIN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandra Bowman
• Sarah Bowman
• Dawna Brady
• Stephanie Branka
• Gregory Ray Brannon, O.D.
• Beverly A. Bright
• Kathy Brooks
• Betty Brown
• Kyli Nicole Brown
• Veronica Brown

• All providers in Weston, WV
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.