Provider Demographics
NPI:1922667682
Name:BRYANT, BRITTANY RENEE (OD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:RENEE
Last Name:BRYANT
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 1:1070 PLEASANT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-7497
Mailing Address - Country:US
Mailing Address - Phone:731-727-7215
Mailing Address - Fax:
Practice Address - Street 1:119 STONEBROOK PL STE A
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3636
Practice Address - Country:US
Practice Address - Phone:731-215-6490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3525152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist