Provider Demographics
NPI:1477841351
Name:BRUTON, BRITTANY (OD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:BRUTON
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 1:3201 UNIVERSITY DR E
Mailing Address - Street 2:STE 140
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3487
Mailing Address - Country:US
Mailing Address - Phone:817-467-2020
Mailing Address - Fax:
Practice Address - Street 1:3201 UNIVERSITY DR E STE 140
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3487
Practice Address - Country:US
Practice Address - Phone:979-731-8446
Practice Address - Fax:844-527-3856
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7868T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist