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Organization
BRADSHAW OPTOMETRY
Active
Organization
BRADSHAW OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL K KIM O.D. (OWNER OPTOMETRIST)
(916) 682-5558
Entity
Organization
Contact information
Practice address
8829 SHELDON RD STE 150, ELK GROVE, CA 95624-5045
(916) 682-5558
(916) 688-5569
Mailing address
8829 SHELDON RD STE 150, ELK GROVE, CA 95624-5045
(916) 682-5558
(916) 688-5569
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
10618T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14460
MEDICAL EYE SERVICES
CA
01
—
19222
SPECTERA
CA
01
—
EYEMED
118210
CA
05
—
SD0106180
—
CA
Enumeration date
05/07/2007
Last updated
08/22/2020
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