Provider Demographics
NPI:1114625852
Name:RANKINS, BRIANNA (DUAL LIC OPTICIAN)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:RANKINS
Suffix:
Gender:F
Credentials:DUAL LIC OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1996 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-8944
Mailing Address - Country:US
Mailing Address - Phone:419-281-5528
Mailing Address - Fax:
Practice Address - Street 1:1996 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8944
Practice Address - Country:US
Practice Address - Phone:419-281-5528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP.016967-SC156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician