Provider Demographics
NPI:1407548142
Name:HUX, BRANDON (LDO)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:HUX
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30983 HIGHWAY 441 S
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-6655
Mailing Address - Country:US
Mailing Address - Phone:706-335-9689
Mailing Address - Fax:706-423-9746
Practice Address - Street 1:30983 HIGHWAY 441 S
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-6655
Practice Address - Country:US
Practice Address - Phone:706-335-9689
Practice Address - Fax:706-423-9746
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALDO002949156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician