Organization
BRADLEY OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRADLEY O.D, (SOLE DIRECTOR)
(530) 673-8440
Entity
Organization
Contact information
Practice address
1160 LIVE OAK BLVD, YUBA CITY, CA 95991-3407
(530) 673-8440
(530) 673-0177
Mailing address
1160 LIVE OAK BLVD, YUBA CITY, CA 95991-3407
(530) 673-8440
(530) 673-0177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7747TG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD007747
—
CA
Enumeration date
08/16/2013
Last updated
04/18/2014
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