Bradley P Bangstad in Gainesville - Optometrist
Bradley P Bangstad - NPI 1013935006
Bradley P Bangstad is a Optometrist in Gainesville, Florida. Bradley P Bangstad practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bradley P Bangstad is 1013935006. The last update date is 2014-12-29.
Bradley P Bangstad's current location address is 4220 Nw 16th Blvd, Gainesville, Florida. You can contact this provider via phone number 3523315440 and fax number 3522713353. The mailing address for Bradley P Bangstad is 4220 Nw 16th Blvd, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley P Bangstad |
|---|---|
| Address | 4220 Nw 16th Blvd, Gainesville, Florida |
| Phone Number | 3523315440 |
| Fax Number | 3522713353 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1013935006 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2014-12-29 |
Provider Mailing Address Detail
| Address | 4220 Nw 16th Blvd |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326053508 |
| Phone Number | 3523315440 |
| Fax Number | 3522713353 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPC 1898 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 621121600 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bradley P Bangstad by the Centers for Medicare & Medicaid Services?
The Bradley P Bangstad has been assigned the NPI (National Provider Identifier) 1013935006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Bradley P Bangstad's facilities are geographically located?
The facilities of Bradley P Bangstad are physically situated at the following location: 4220 Nw 16Th Blvd, Gainesville, FL, 326053508.
What is Bradley P Bangstad's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley P Bangstad's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When was the Bradley P Bangstad's 1013935006 issued?
The Bradley P Bangstad's 1013935006 was issued on 2006-07-17.
As of what date were the details pertaining to Bradley P Bangstad last refreshed?
The information related to the Bradley P Bangstad, including its address, specialty, and other relevant details, was last updated on 2014-12-29.
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