DR. BRANDON RONALD LEE (NPI# 1477030567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477030567 |
| Entity Type | Individual |
| Full Name | DR. BRANDON RONALD LEE |
| Credential | OD |
| Practice Address |
2644 E Berry St. Fort Worth TX 76105 |
| Practice Telephone | 8178400847 |
| Mailing Telephone | 8178400847 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9531 | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992358626 | Brandon Lee | Specialist/Technologist | 3502 Markley Creek Dr, Antioch, CA 94509-6287 | 2019-07-22 |
| 1518351600 | Brandon Chu Lee | Pediatrics | 2831 East George Bush Highway, Richardson, TX 75082-3561 | 2015-03-26 |
| 1669818118 | Brandon Lee | Counselor | 2629 Portland St, Apt 103, Los Angeles, CA 90007-2471 | 2013-05-10 |
| 1639426828 | Brandon Yongjo Lee | Acupuncturist | 3610 Gainesway Trce, Duluth, GA 30096-1739 | 2012-08-07 |
| 1043598238 | Brandon Michael Lee | Pharmacist | 10530 John W Elliott Dr Ste 100, Frisco, TX 75033-2014 | 2011-07-22 |
| 1720392228 | Brandon Scott Lee | Physical Therapist | 4020 Lonesome Rd, Mandeville, LA 70448-7085 | 2010-07-27 |
| 1720607476 | Brandon Lee | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-04-13 |
| 1598395394 | Brandon Lee | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-01-21 |
| 1326523382 | Brandon Lee | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-09-26 |
| 1962909366 | Brandon Lee | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2018-04-11 |
| Street Address |
2644 E BERRY ST. |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| 1174915805 | Sun A Chung | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-04 |
| Find all providers in zip 76105 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805645 | Mary Kathryn Walters | Optometrist | 655 Taylor Street, Fort Worth, TX 76102-4821 | 2020-09-09 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1275168403 | National Vision Inc | Optometrist | 5609 Sierra Springs Ln, Fort Worth, TX 76123-2183 | 2020-03-09 |
| 1659933125 | Robert Xiang Li | Optometrist | 3524 Highway 114 Ste 300, Fort Worth, TX 76177-2197 | 2019-07-03 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1053879569 | Daniel Max & Marcandrea LLC | Optometrist | 501 Alta Mere Dr Ste 1021, Fort Worth, TX 76114-4014 | 2019-03-05 |
| 1083179600 | Joseph Khang Vu | Optometrist | 4800 S Hulen St Ste 147, Fort Worth, TX 76132-1415 | 2019-02-07 |
| 1932685682 | Jennifer Marie Wiernas | Optometrist | 6333 Camp Bowie Blvd Ste 272, Fort Worth, TX 76116-5444 | 2018-07-16 |
| 1215440102 | Benjamin Ho | Optometrist | 4644 Timken Trl, Fort Worth, TX 76137-6146 | 2017-11-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.