Provider Demographics
NPI:1902254063
Name:SETZER, BRITTANY LYNN (OD)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LYNN
Last Name:SETZER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LYNN
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:600 N MAIN ST
Mailing Address - Street 2:EYE CLINIC
Mailing Address - City:MOUNT VERNON
Mailing Address - State:MO
Mailing Address - Zip Code:65712-1004
Mailing Address - Country:US
Mailing Address - Phone:417-466-0182
Mailing Address - Fax:417-466-0126
Practice Address - Street 1:1850 W REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5730
Practice Address - Country:US
Practice Address - Phone:417-891-4800
Practice Address - Fax:417-891-4922
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016039128152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist