MEDICARE: DR. BRANDON ROBERT MERCHANT 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	14288148-9934	UT

General Provider Information

NPI Number	:	1619802923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON ROBERT MERCHANT OD

Provider Business Mailing Address
First Line	:	306 W SHADOW RIDGE DR
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-6664
Country	:	US
Telephone Number	:	801-882-1115
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 CARLANNA LAKE RD
Second Line	:
City	:	KETCHIKAN
State	:	AK
Zip	:	99901-5614
Country	:	US
Telephone Number	:	907-225-2020
Fax Number	:

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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