Provider Demographics
NPI:1033485065
Name:POWELL, BRITTANY ELIZABETH
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:POWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:ELIZABETH
Other - Last Name:BAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-1098
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-5285
Practice Address - Country:US
Practice Address - Phone:619-632-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-23
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292384-01207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist