Dr. Shane Brahm
Dr. Shane Brahm is an Optometry in Lac Du Flambeau, Wisconsin. Qualified in 2015, 11 years ago. Practices with Lac Du Flambeau Band of Lake Superior Chippewa Indians, a 19-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 11
- Licensed in
- WI
- In the registry since
- 2015
Practice location Address checks out
129 Old Abe RdLac Du Flambeau, WI 54538-9386
Phone: (715) 588-3371
Fax: (715) 588-2039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 3376-35 (WI) |
|---|
Record details
| NPI number | 1831570761 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 16, 2015 |
| Last updated in NPPES | June 16, 2015 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Lac Du Flambeau Band Of Lake Superior Chippewa Indians — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |