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NPI Code Detail

MEDICARE: DR. BRIAN CHRISTOPHER ADLER O.D.

MEDICARE:  DR. BRIAN CHRISTOPHER ADLER  O.D.
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
1152W00000XOptometrist2940WI
2152W00000XOptometrist0618003481VA

General Provider Information

NPI Number : 1417086752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN CHRISTOPHER ADLER O.D.
Provider Business Mailing Address
First Line : 17550 W BLUEMOUND RD
Second Line : D
City : BROOKFIELD
State : WI
Zip : 53045-2928
Country : US
Telephone Number : 262-784-3700
Fax Number :
Provider Business Practice Location Address
First Line : 1255 FORDHAM DR STE 114
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-5347
Country : US
Telephone Number : 757-523-0161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2007
Last Update Date : 04/11/2025

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Directions to “ DR. BRIAN CHRISTOPHER ADLER O.D.” Practice Location

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