Provider Demographics
NPI:1205557196
Name:CAPUTO, BRITTANY (OD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:CAPUTO
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 EAGLESRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63021-2020
Mailing Address - Country:US
Mailing Address - Phone:857-265-9513
Mailing Address - Fax:636-390-3959
Practice Address - Street 1:901 E 3RD ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-3010
Practice Address - Country:US
Practice Address - Phone:636-390-3999
Practice Address - Fax:636-390-3959
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023022981152W00000X
MDDA2857152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist