MEDICARE: BRITTANY DEATON

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	156FX1800X	Optician	OP.017143-S	OH

General Provider Information

NPI Number	:	1851222400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY DEATON

Provider Business Mailing Address
First Line	:	220 CRESTON RD
Second Line	:
City	:	ONTARIO
State	:	OH
Zip	:	44906-2211
Country	:	US
Telephone Number	:	567-241-8137
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 CRESTON RD
Second Line	:
City	:	ONTARIO
State	:	OH
Zip	:	44906-2211
Country	:	US
Telephone Number	:	567-241-8137
Fax Number	:

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

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ BRITTANY DEATON ” Practice Location

Language	Start Address	Practice Location

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