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Individual
DR. TIMOTHY LEWIS BRADSHAW
Active
Individual
DR. TIMOTHY LEWIS BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618003245
VA
152W00000X
Optometrist
2203
AZ
152W00000X
Optometrist
Primary
36196
CA
152W00000X
Optometrist
OPT002957
GA
Other
Enumeration date
07/15/2016
Last updated
08/19/2026
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