Provider Demographics
NPI:1598856999
Name:ARMSTRONG, BRANDON T (OD)
Entity type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:T
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 S STATE ROAD 135 # NIA
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6588
Mailing Address - Country:US
Mailing Address - Phone:317-887-2800
Mailing Address - Fax:317-887-2958
Practice Address - Street 1:2020 S STATE ROAD 135
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6588
Practice Address - Country:US
Practice Address - Phone:317-887-2800
Practice Address - Fax:317-300-0078
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003219A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00254185OtherPALMETTO GBA RR MEDICARE
IN000000366753OtherANTHEM
IN225170AMedicare PIN
INP00254185OtherPALMETTO GBA RR MEDICARE
IN000000366753OtherANTHEM