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Contact Information

BRANDON CHAN
919 LAKELAND PARK DR
LAKELAND, FL33809
 Phone: 863-859-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRANDON CHAN · (Male)

NPI Number 1689397861
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2022
Last updated 10/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OPC6188
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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