Individual
DR. BRADLEY JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
370 E MILLTOWN RD STE B, WOOSTER, OH 44691-1280
(330) 345-1551
(330) 967-0053
Mailing address
370 E MILLTOWN RD STE B, WOOSTER, OH 44691-1280
(330) 345-1551
(330) 967-0053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4806/T1648
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026006
—
OH
01
—
410048838
RAILROAD MEDICARE
OH
Enumeration date
06/22/2005
Last updated
04/01/2020
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