Individual
DR. BRADLEY J BAUGHMAN
Active
Individual
DR. BRADLEY J BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T1892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064638
ANTHEM
OH
01
—
2201360
UHC
OH
05
—
2298893
—
OH
Enumeration date
06/30/2005
Last updated
04/24/2018
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