DR. Micah Dray Brienen, OD

NPI #1770527525 in North Fort Myers, Florida

Provider Information

NPI Number: 1770527525
Entity Type: Individual
Name: DR. Micah Dray Brienen, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 15, 2006
Last Updated: Jan 11, 2017

Practice Location

Address: 17966 N TAMIAMI TRL # 160
City: North Fort Myers
State: Florida
ZIP Code: 33903-1414
Phone: (239) 543-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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