Wainwright, Brenda Ann

Wainwright, Brenda Ann is an individual health care provider with primary practice located at 851 E 23Rd St , Panama City FL 32405-5311. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wainwright, Brenda Ann can be contacted via phone (850) 215-3937.

Contact Information

Primary practice address
851 E 23Rd St Panama City FL 32405-5311
Fax: (850) 215-3937
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC-3749 Florida

Profile Details

NPI number 1699764803
LBN Legal business name Wainwright, Brenda Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jan 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699764803 NPPES
Florida Other 68166 BLUE CROSS BLUE SHIELD
Florida Other 203404651 BLUE CROSS BLUE SHIELD

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