Provider Demographics
NPI:1891002010
Name:FECHTER, BRANT WILLIAM (OPTOMETRY TECH)
Entity Type:Individual
Prefix:MR
First Name:BRANT
Middle Name:WILLIAM
Last Name:FECHTER
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Gender:M
Credentials:OPTOMETRY TECH
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Mailing Address - Street 1:126 MISSOURI AVE., EENT CLINIC
Mailing Address - Street 2:JENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Mailing Address - City:FORT LEONARD WOOD
Mailing Address - State:MO
Mailing Address - Zip Code:65473
Mailing Address - Country:US
Mailing Address - Phone:573-596-0131
Mailing Address - Fax:573-596-0086
Practice Address - Street 1:123 MISSOURI AVE., EENT CLINIC
Practice Address - Street 2:JENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT LEONARD WOOD
Practice Address - State:MO
Practice Address - Zip Code:65473
Practice Address - Country:US
Practice Address - Phone:573-596-0131
Practice Address - Fax:573-596-0086
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1202XEye and Vision Services ProvidersTechnician/TechnologistOptometric Technician