Individual
DR. BRADLEY J BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8216 N MAIN ST, DAYTON, OH 45415-1641
(937) 898-2300
(937) 898-2348
Mailing address
8216 N MAIN ST, DAYTON, OH 45415-1641
(937) 898-2300
(937) 898-2348
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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