Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 776 | ND |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 13976TLG | CA |
NPI | 1114239282 |
---|---|
Provider Name | Dr. Brooke Marie Messer |
First Address | Sioux Falls, SD 57108-3162 |
Second Address | West Fargo, ND 58078-8490 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 04/11/2020 |