Provider Demographics
NPI:1154310019
Name:BRITTON, ANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:BRITTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3333 KERRY DR
Mailing Address - Street 2:STE 100
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-9126
Mailing Address - Country:US
Mailing Address - Phone:605-348-7045
Mailing Address - Fax:605-343-7275
Practice Address - Street 1:1612 EGLIN ST
Practice Address - Street 2:STE 100
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-6110
Practice Address - Country:US
Practice Address - Phone:605-348-7045
Practice Address - Fax:605-343-7275
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD560152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD30169OtherCOLE MANAGED VISION
SD0006496OtherBLUE CROSS BLUE SHIELD
SD9203110Medicaid
SDU79752Medicare UPIN
SD30169OtherCOLE MANAGED VISION