Provider Demographics
NPI:1184853343
Name:FURNESS, BRANDON SPENCER (OD)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:SPENCER
Last Name:FURNESS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:112 COLUMBIA POINT DR
Mailing Address - Street 2:STE 102
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4390
Mailing Address - Country:US
Mailing Address - Phone:509-943-6565
Mailing Address - Fax:509-946-6416
Practice Address - Street 1:112 COLUMBIA POINT DR
Practice Address - Street 2:STE 102
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4390
Practice Address - Country:US
Practice Address - Phone:509-943-6565
Practice Address - Fax:509-946-6416
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2016-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAOD60096389152WL0500X, 152WX0102X, 152WP0200X, 152WC0802X, 152W00000X, 152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management