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NPI Code Detail

MEDICARE: DR. DONALD EUGENE BRAXTON OD

MEDICARE:  DR. DONALD EUGENE BRAXTON  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
1152W00000XOptometristOPT001375GA
2152WC0802XCorneal and Contact Management OptometristOPT001375GA

General Provider Information

NPI Number : 1154353746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD EUGENE BRAXTON OD
Provider Business Mailing Address
First Line : PO BOX 311619
Second Line :
City : ATLANTA
State : GA
Zip : 31131-1619
Country : US
Telephone Number : 770-852-1002
Fax Number : 770-947-9893
Provider Business Practice Location Address
First Line : 2451 CUMBERLAND PKWY SE
Second Line : STE. 3138
City : ATLANTA
State : GA
Zip : 30339-6136
Country : US
Telephone Number : 770-852-1002
Fax Number : 770-947-9893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 09/11/2025

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Directions to “ DR. DONALD EUGENE BRAXTON OD” Practice Location

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