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Contact Information

RICHARD S BRENNER, OD
469 LAWRENCE RD
BROOMALL, PA19008-3747
 Phone: 610-353-2121
 Fax: 610-353-4936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RICHARD S BRENNER · (Male)

NPI # 1386774008
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/06/2007
Last updated 02/26/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # OEG001748
  • PA Medicaid 000545780
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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