Individual
BRADLEY A BESTWINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6076
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2709
TN
152W00000X
Optometrist
4398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700266
—
MA
Enumeration date
08/10/2006
Last updated
11/20/2025
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