Jonathan R Bradley in Decatur - Optometrist
Jonathan R Bradley - NPI 1033371729
Jonathan R Bradley is a Optometrist in Decatur, Illinois. Jonathan R Bradley practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jonathan R Bradley is 1033371729. The last update date is 2012-12-07.
Jonathan R Bradley's current location address is 4837 E Rte 36, Decatur, Illinois. You can contact this provider via phone number 2178641362 and fax number 2178641363. The mailing address for Jonathan R Bradley is 4837 E Rte 36, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan R Bradley |
|---|---|
| Address | 4837 E Rte 36, Decatur, Illinois |
| Phone Number | 2178641362 |
| Fax Number | 2178641363 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1033371729 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2012-12-07 |
Provider Mailing Address Detail
| Address | 4837 E Rte 36 |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625219725 |
| Phone Number | 2178641362 |
| Fax Number | 2178641363 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18003512A |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200904330 | IN | -- |
Post Comment/ Review Below
What is the Jonathan R Bradley's unique identification number?
The Jonathan R Bradley has been assigned the NPI (National Provider Identifier) Number 1033371729 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jonathan R Bradley?
The Jonathan R Bradley is physically situated at 4837 E Rte 36, in the city of Decatur, state of IL, with the postal code 625219725.
What is Jonathan R Bradley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jonathan R Bradley is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033371729 to Jonathan R Bradley?
The Centers for Medicare & Medicaid Services originally issued the 1033371729 to Jonathan R Bradley on 2008-06-25.
As of what date were the details related to Jonathan R Bradley most recently updated or revised?
The information pertaining to Jonathan R Bradley, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-07.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT