Provider Demographics
NPI:1548432545
Name:DAY, BRANDY LEIGH (OD)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:LEIGH
Last Name:DAY
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 1:525 CLAIRTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3809
Mailing Address - Country:US
Mailing Address - Phone:412-653-7320
Mailing Address - Fax:412-653-9036
Practice Address - Street 1:525 CLAIRTON BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILLS
Practice Address - State:PA
Practice Address - Zip Code:15236-3809
Practice Address - Country:US
Practice Address - Phone:412-653-7320
Practice Address - Fax:412-653-9036
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001970152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102285815 0001Medicaid
PA6188130001Medicare NSC