| Doctor Name: | JOHN L BRATLIE |
| NPI Number: | 1033356035 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | DO00000500 |
| Business Practice Address: | 916 Koala Ave Omak, WA - 988419576 |
| Business Phone Number: | 5098261800 |
| Business Fax Number: | |
| Mailing Address: | 820 N Chelan Ave, WENATCHEE |
| State: | WA |
| Postal Code: | 988012028 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2009 |
| NPI Last Update Date: | 03/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | DO00000500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |