Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Chan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689397861

Brandon Chan is a Student in an Organized Health Care Education/Training Program in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

919 Lakeland Park Dr
Lakeland, FL 33809
Phone: (863) 859-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC6188 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689397861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 21, 2022
Mailing address550 Lynn St, Ridgewood, NJ 07450-1902

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