Bradley David Middaugh in Venice - Optometrist
Bradley David Middaugh - NPI 1679575187
Bradley David Middaugh is a Optometrist in Venice, Florida. Bradley David Middaugh practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bradley David Middaugh is 1679575187. The last update date is 2022-02-24.
Bradley David Middaugh's current location address is 1360 E Venice Ave, Venice, Florida. You can contact this provider via phone number 9414802135. The mailing address for Bradley David Middaugh is 1360 E Venice Ave, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley David Middaugh |
|---|---|
| Address | 1360 E Venice Ave, Venice, Florida |
| Phone Number | 9414802135 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1679575187 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2022-02-24 |
Provider Mailing Address Detail
| Address | 1360 E Venice Ave |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342859066 |
| Phone Number | 9414802135 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPC0002377 |
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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 |
|---|---|---|---|
| 19695W | FL | MEDICARE PTAN | |
| 78638100 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley David Middaugh by the Centers for Medicare & Medicaid Services?
The Bradley David Middaugh has been assigned the NPI (National Provider Identifier) 1679575187. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradley David Middaugh?
The Bradley David Middaugh is situated at 1360 E Venice Ave, in the city of Venice, state of FL, with the zip code 342859066.
What is Bradley David Middaugh's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley David Middaugh's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date was the 1679575187 assigned to Bradley David Middaugh?
The Bradley David Middaugh was issued its 1679575187 on 2005-08-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Bradley David Middaugh, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bradley David Middaugh, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-24.