Provider Demographics
NPI:1720867237
Name:BRAUER EYE PLLC
Entity type:Organization
Organization Name:BRAUER EYE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:217-377-0477
Mailing Address - Street 1:2S373 SENECA DR
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-5964
Mailing Address - Country:US
Mailing Address - Phone:217-377-0477
Mailing Address - Fax:
Practice Address - Street 1:6321 FAIRVIEW AVE STE A
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-2886
Practice Address - Country:US
Practice Address - Phone:630-852-0102
Practice Address - Fax:630-852-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty