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Contact Information

MICAH BRASEL, OD
300 W RANDOLPH
VANDALIA, IL62471
 Phone: 618-283-7100
 Fax: 618-997-6250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICAH BRASEL · (Female)

NPI # 1083924740
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/15/2010
Last updated 10/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046010422
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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