Provider Demographics
NPI:1306935820
Name:NAPONIC, BRETT CARLSON (OD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:CARLSON
Last Name:NAPONIC
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Gender:M
Credentials:OD
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Mailing Address - Street 1:5256 ROUTE 30 STE 231
Mailing Address - Street 2:WESTMORELAND MALL
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7781
Mailing Address - Country:US
Mailing Address - Phone:724-837-1440
Mailing Address - Fax:724-837-5208
Practice Address - Street 1:231 WESTMORELAND AVE
Practice Address - Street 2:5256 ROUTE 30
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3434
Practice Address - Country:US
Practice Address - Phone:724-837-1440
Practice Address - Fax:724-837-5208
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2013-03-19
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Provider Licenses
StateLicense IDTaxonomies
PAOE7382T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU50380Medicare UPIN