Individual
BRADLEY KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1540 FROOM RANCH WAY, SAN LUIS OBISPO, CA 93405-7211
(805) 544-0450
(805) 544-0275
Mailing address
1540 FROOM RANCH WAY, SAN LUIS OBISPO, CA 93405-7211
(805) 544-0450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34935
CA
Other
Enumeration date
08/27/2021
Last updated
10/23/2023
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