Provider Demographics
NPI:1093436214
Name:BRAR, AMANDEEP KAUR (OD)
Entity Type:Individual
Prefix:DR
First Name:AMANDEEP
Middle Name:KAUR
Last Name:BRAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:AMANDEEP
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:6472 ENGLISH OAK
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-9174
Mailing Address - Country:US
Mailing Address - Phone:317-652-2105
Mailing Address - Fax:
Practice Address - Street 1:3985 W 106TH ST STE 120
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7779
Practice Address - Country:US
Practice Address - Phone:317-334-4424
Practice Address - Fax:317-334-4425
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18004360A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist