Provider Demographics
NPI:1154980712
Name:BEERS, BRITTANY ELIZABETH (OD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:BEERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ELIZABETH
Other - Last Name:GLATTING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:251 N SAWYER ST
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54902-4251
Mailing Address - Country:US
Mailing Address - Phone:920-235-5530
Mailing Address - Fax:920-235-6406
Practice Address - Street 1:509 CHAIN DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-1437
Practice Address - Country:US
Practice Address - Phone:920-733-3629
Practice Address - Fax:920-731-8089
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3559-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist