Provider Demographics
NPI:1497447486
Name:NEUDECKER, BRITTANY TAYLOR (OD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:TAYLOR
Last Name:NEUDECKER
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 1:3372 LONGVIEW TER
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-4306
Mailing Address - Country:US
Mailing Address - Phone:256-596-0278
Mailing Address - Fax:
Practice Address - Street 1:3873 STATE ROUTE 31 STE 110
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-1489
Practice Address - Country:US
Practice Address - Phone:315-652-5962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRT009917-01152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist