Provider Demographics
NPI:1356392443
Name:OGDEN, BRIGID B (OD)
Entity type:Individual
Prefix:DR
First Name:BRIGID
Middle Name:B
Last Name:OGDEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15495 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 124
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-6206
Mailing Address - Country:US
Mailing Address - Phone:239-596-4336
Mailing Address - Fax:239-593-3019
Practice Address - Street 1:15495 TAMIAMI TRL N
Practice Address - Street 2:SUITE 124
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-6206
Practice Address - Country:US
Practice Address - Phone:239-596-4336
Practice Address - Fax:239-593-3019
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3928152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL68169YMedicare ID - Type Unspecified
FLU84481Medicare UPIN