Provider Demographics
NPI:1043528060
Name:WEYAND, BRANDON LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:LYNN
Last Name:WEYAND
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 LOWER SHILOH WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5431
Mailing Address - Country:US
Mailing Address - Phone:919-472-4070
Mailing Address - Fax:919-472-4069
Practice Address - Street 1:1004 LOWER SHILOH WAY STE 105
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5431
Practice Address - Country:US
Practice Address - Phone:919-472-4070
Practice Address - Fax:919-472-4069
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2216152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5922249Medicaid
NC8887FMedicare PIN
NC8887LMedicare PIN
NC8887Medicare PIN
NC5922249Medicaid
NC8887IMedicare PIN
NC8887KMedicare PIN
NC8887HMedicare PIN
NC8887DMedicare PIN
NC8887EMedicare PIN
NC8887JMedicare PIN