Provider Demographics
NPI:1073562856
Name:BRITT, MICHAEL F (OD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:BRITT
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 1:887A ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502
Mailing Address - Country:US
Mailing Address - Phone:510-814-7268
Mailing Address - Fax:510-814-0134
Practice Address - Street 1:887A ISLAND DR
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502
Practice Address - Country:US
Practice Address - Phone:510-814-7268
Practice Address - Fax:510-814-0134
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8198T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0279360001OtherDMERC
CA0279360001OtherDMERC
CA0279360001OtherDMERC
CASD0060831Medicare PIN
CAT10660Medicare UPIN