MEDICARE: BRANDON M. WOOL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	015341	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760418578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON M. WOOL MD

Provider Business Mailing Address
First Line	:	315 METAIRIE ROAD
Second Line	:	SUITE 302
City	:	METAIRIE
State	:	LA
Zip	:	70005-4337
Country	:	US
Telephone Number	:	504-835-2197
Fax Number	:	504-835-2631

Provider Business Practice Location Address
First Line	:	315 METAIRIE ROAD
Second Line	:	SUITE 302
City	:	METAIRIE
State	:	LA
Zip	:	70005-4337
Country	:	US
Telephone Number	:	504-835-2197
Fax Number	:	504-835-2631

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	07/28/2008

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