MEDICARE: BRITTANY NITA FOX 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
1	152W00000X	Optometrist	3474	MN

General Provider Information

NPI Number	:	1568811040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY NITA FOX O.D.

Provider Business Mailing Address
First Line	:	12099 513TH AVE
Second Line	:
City	:	AMBOY
State	:	MN
Zip	:	56010-4505
Country	:	US
Telephone Number	:	507-525-1368
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 S GROVE ST
Second Line	:
City	:	BLUE EARTH
State	:	MN
Zip	:	56013-2604
Country	:	US
Telephone Number	:	507-526-2222
Fax Number	:	507-526-3927

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

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	02/27/2024

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