MEDICARE: JOSEPH W. BRAUN, O.D. AND ASSOCIATES, LLC

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	152WC0802X	Corneal and Contact Management Optometrist	1815	WA

General Provider Information

NPI Number	:	1073793113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH W. BRAUN, O.D. AND ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	4750 N DIVISION ST
Second Line	:	SUITE 126
City	:	SPOKANE
State	:	WA
Zip	:	99207-1402
Country	:	US
Telephone Number	:	509-482-0217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 N DIVISION ST
Second Line	:	SUITE 126
City	:	SPOKANE
State	:	WA
Zip	:	99207-1402
Country	:	US
Telephone Number	:	509-482-0217
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL OWNER
Name	:	DR. JOSEPH WALLACE BRAUN
Credential	:	O.D.
Telephone Number	:	509-482-0217

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	04/22/2008

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