Provider Demographics
NPI:1659541787
Name:BRANE, DONNA ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:ANN
Last Name:BRANE
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Gender:F
Credentials:OD
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Mailing Address - Street 1:21100 DULLES TOWN CIR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2437
Mailing Address - Country:US
Mailing Address - Phone:703-421-9020
Mailing Address - Fax:703-421-7426
Practice Address - Street 1:21100 DULLES TOWN CIR
Practice Address - Street 2:SUITE 103
Practice Address - City:DULLES
Practice Address - State:VA
Practice Address - Zip Code:20166-2437
Practice Address - Country:US
Practice Address - Phone:703-421-9020
Practice Address - Fax:703-421-7426
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0618000926152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist