| Jennifer J Brandon, OD | |
|
5274 Salem Ave, Trotwood, OH 45426-1702 | |
| (937) 837-3937 | |
| (937) 815-1067 |
| Full Name | Jennifer J Brandon |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 5274 Salem Ave, Trotwood, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962790055 | NPI | - | NPPES |
| 0050746 | Medicaid | OH | |
| 6075-T2990 | Other | OH | OHIO OPTOMETRY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6075-T2990 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Five Rivers Health Centers | 9335300904 | 44 |
| Family First Vision Care Kentucky Llc | 3577975291 | 20 |
| Provider Name | Dr Claffie And Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861687402 PECOS PAC ID: 2365566510 Enrollment ID: O20100825000680 |
| Provider Name | Five Rivers Health Centers |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
| Provider Name | Clarkson Optometry Midwest Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20150113001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer J Brandon, OD 5274 Salem Ave, Trotwood, OH 45426-1702 Ph: (937) 837-3937 | Jennifer J Brandon, OD 5274 Salem Ave, Trotwood, OH 45426-1702 Ph: (937) 837-3937 |
Tyler Ray Mangold, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 5274 Salem Ave, Trotwood, OH 45426 Phone: 937-887-3937 | |
Family First Vision Care Kentucky, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5274 Salem Ave, Trotwood, OH 45426 Phone: 937-837-3937 |