Organization
BRADLEY EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L BRADLEY O.D. (OPTOMETRIST/DIRECTOR)
(701) 852-5626
Entity
Organization
Contact information
Practice address
207 MAIN ST S, MINOT, ND 58701-3915
(701) 852-5626
Mailing address
207 MAIN ST S, MINOT, ND 58701-3915
(701) 852-5626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
544
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01475002
BLUE CROSS BLUE SHIELD
ND
01
—
01475003
VISION SERVICES, INC
ND
05
—
60632
—
ND
Enumeration date
10/10/2006
Last updated
06/21/2018
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