IndividualActive
Brandy Peterson, A.B.O.C., N.C.L.E.
NPI 1366833865 · Optician · Three Rivers, MI
Provider details
- NPI number
- 1366833865
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- A.B.O.C., N.C.L.E.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 156379 (MI)
Mailing address
18511 South River Rd,
Three Rivers, MI 49093
Registry dates
- Enumerated
- 2015-02-05
- Last updated
- 2015-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.