Individual
BRADLEY WILLIAM FIELDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 N UNIVERSITY DR, EDMOND, OK 73034-5206
(405) 341-3567
(405) 359-2000
Mailing address
318 S LITTLER AVE, EDMOND, OK 73034-3823
(405) 341-3567
(405) 359-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK1080
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763620A
—
OK
Enumeration date
07/27/2005
Last updated
03/28/2017
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