MEDICARE: MICHAEL F BRITT OD

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	152W00000X	Optometrist	8198T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0279360001	OTHER	CA	DMERC

General Provider Information

NPI Number	:	1073562856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL F BRITT OD

Provider Business Mailing Address
First Line	:	887A ISLAND DR
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94502
Country	:	US
Telephone Number	:	510-814-7268
Fax Number	:	510-814-0134

Provider Business Practice Location Address
First Line	:	887A ISLAND DR
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94502
Country	:	US
Telephone Number	:	510-814-7268
Fax Number	:	510-814-0134

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	03/07/2023

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