Brody Dwyer

NPI 1720862089 · on the registry since 2023

Practice

Address: 10038 Meadow Way Unit D
Truckee, CA 96161
Phone: (530) 536-6693
Organisation at this address: Gateway Mountain Center
Gateway Mountain Center, Inc
Truckee Family Eyecare Optometry, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 53

Registry record

Primary taxonomy: 175T00000X
175T00000X
Also registered as: 101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California