Provider Demographics
NPI:1225679210
Name:KAY, BRITTANY (OD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-1653
Mailing Address - Country:US
Mailing Address - Phone:330-534-2421
Mailing Address - Fax:330-534-1960
Practice Address - Street 1:30 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-1653
Practice Address - Country:US
Practice Address - Phone:330-534-2421
Practice Address - Fax:330-534-1960
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.006821152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist