Brewer Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

1917DT Issued in KY

Legal business name

BREWER VISION CENTER

Practice address

14800 Fort Campbell Blvd
Oak Grove, KY 42262-8304

Phone

(270) 640-7670

NPI assigned

Jul 31, 2013

Last updated

Aug 24, 2013By 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. Landon Brewer, O.D.

Title

Owner

Phone

(270) 640-7670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377302400000",
    "number": "1801228978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 FORT CAMPBELL BLVD",
            "city": "OAK GROVE",
            "state": "KY",
            "postal_code": "422628304",
            "telephone_number": "270-640-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 FORT CAMPBELL BLVD",
            "city": "OAK GROVE",
            "state": "KY",
            "postal_code": "422628304",
            "telephone_number": "270-640-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-08-24",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-640-7670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1917DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Air Affiliates, Inc.
• Felisha Danielle Babb, LCSW
• Tracey Bullard, FNP
• Airneida Bumgardner-Miles
• Amy Burse
• Dayna Carpenter
• Randi Arlene Carr

• Optometrist in Oak Grove, KY
• Providers in Oak Grove, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; 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.