IndividualActive
Brandon La, OD
NPI 1710686118 · Low Vision Rehabilitation Optometrist · Plano, TX
Provider details
- NPI number
- 1710686118
- Entity type
- Individual
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 10779T (TX)
Practice location
4020 W Plano Pkwy
Plano, TX 75093-5613
Phone: (469) 999-2747
Fax: (469) 606-0925
Mailing address
250 Avenue K Sw Ste 200
Winter Haven, FL 33880-3919
Registry dates
- Enumerated
- 2023-02-24
- Last updated
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.