Provider Demographics
NPI:1386260743
Name:DR. DONNA A. BRANE & ASSOCIATES, INC.
Entity type:Organization
Organization Name:DR. DONNA A. BRANE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRANE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-421-9020
Mailing Address - Street 1:21100 DULLES TOWN CIR STE 103
Mailing Address - Street 2:
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2438
Mailing Address - Country:US
Mailing Address - Phone:703-421-7426
Mailing Address - Fax:703-421-7426
Practice Address - Street 1:21100 DULLES TOWN CIR STE 103
Practice Address - Street 2:
Practice Address - City:DULLES
Practice Address - State:VA
Practice Address - Zip Code:20166-2438
Practice Address - Country:US
Practice Address - Phone:703-421-7426
Practice Address - Fax:703-421-7426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty