| Todd R. Brantley, Llc | |
|
1060 S Preston Rd, #100, Celina, TX 75009-3894 | |
| (972) 382-2020 | |
| (972) 378-9094 |
| Full Name | Todd R. Brantley, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1060 S Preston Rd, Celina, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215278510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5711TG (Texas) | Primary |
| Provider Name | Todd R Brantley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760595631 PECOS PAC ID: 3678504875 Enrollment ID: I20050827000066 |
| Provider Name | Brad E Hanstad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609856236 PECOS PAC ID: 8224179700 Enrollment ID: I20130619000142 |
| Provider Name | Benjamin Joseph Lundeen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295009041 PECOS PAC ID: 4789901174 Enrollment ID: I20150324000804 |
| Provider Name | Jasmine Serna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053921890 PECOS PAC ID: 6305263492 Enrollment ID: I20200903002446 |
| Provider Name | Cory Edward Toufar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326771833 PECOS PAC ID: 7113300997 Enrollment ID: I20220811000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd R. Brantley, Llc 1060 S Preston Rd, #100, Celina, TX 75009-3894 Ph: (972) 382-2020 | Todd R. Brantley, Llc 1060 S Preston Rd, #100, Celina, TX 75009-3894 Ph: (972) 382-2020 |
Dr. Dania Hasan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2420 Clearspring Dr, Celina, TX 75009 Phone: 832-248-2019 |