Organization
BRONDSTATERS OPTICAL AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP BRADFORD BRONDSTATER (PRESIDENT)
(304) 263-2020
Entity
Organization
Contact information
Practice address
800 FOXCROFT AVENUE, SUITE 914, MARTINSBURG, WV 25401
(304) 263-2020
(304) 263-2935
Mailing address
800 FOXCROFT AVENUE, SUITE 914, MARTINSBURG, WV 25401
(304) 263-2020
(304) 263-2935
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16784
AVESIS
WV
01
—
338639
CLARITY VISION
WV
05
—
3810002980
—
WV
01
—
501161
NVA
WV
01
—
VA0031
EYE MED
WV
01
—
WV10170
VBA
WV
Enumeration date
09/28/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up