Healthcare Provider Details

I. General information

NPI: 1851387427
Provider Name (Legal Business Name): ERIC LEE BRAN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 POST RD W
WESTPORT CT
06880-4629
US

IV. Provider business mailing address

212 POST RD W
WESTPORT CT
06880-4629
US

V. Phone/Fax

Practice location:
  • Phone: 203-226-9426
  • Fax: 203-226-6230
Mailing address:
  • Phone: 203-226-9426
  • Fax: 203-226-6230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number002638
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: