Provider Demographics
NPI:1306997143
Name:TO, BRITTANY ANN (OD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ANN
Last Name:TO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:14 LEAGUE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2475
Mailing Address - Country:US
Mailing Address - Phone:714-812-8330
Mailing Address - Fax:
Practice Address - Street 1:12828 HARBOR BLVD STE 305
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5835
Practice Address - Country:US
Practice Address - Phone:800-898-2020
Practice Address - Fax:844-897-3788
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10651 T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0106510Medicaid
CAU60803Medicare UPIN