MEDICARE: DR. BRETT DENNIS MCVEY 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	3622/T559	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639173453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT DENNIS MCVEY O.D.

Provider Business Mailing Address
First Line	:	6640 LEMONWOOD CT
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44053-3847
Country	:	US
Telephone Number	:	440-233-7562
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 W 5TH ST
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44052-1609
Country	:	US
Telephone Number	:	440-246-2020
Fax Number	:	440-244-3257

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	10/16/2013

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