Bradley J Wicklund in Plymouth - Optometrist
Bradley J Wicklund - NPI 1366508293
Bradley J Wicklund is a Optometrist in Plymouth, Wisconsin. Bradley J Wicklund practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bradley J Wicklund is 1366508293. The last update date is 2014-07-15.
Bradley J Wicklund's current location address is 100 Carr Rd, Plymouth, Wisconsin. You can contact this provider via phone number 9208933937 and fax number 9208928886. The mailing address for Bradley J Wicklund is 100 Carr Rd, Plymouth, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradley J Wicklund |
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Address | 100 Carr Rd, Plymouth, Wisconsin |
Phone Number | 9208933937 |
Fax Number | 9208928886 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1366508293 |
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Provider Enumeration Date | 2006-12-28 |
Last Updated Date | 2014-07-15 |
Provider Mailing Address Detail
Address | 100 Carr Rd |
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City | Plymouth |
State | Wisconsin (WI) |
Post Code | 530739500 |
Phone Number | 9208933937 |
Fax Number | 9208928886 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 3049-035 |
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 |
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38630800 | WI | -- |
Post Comment/ Review Below
What is the Bradley J Wicklund's 1366508293?
The Bradley J Wicklund's NPI (National Provider Identifier) Number is 1366508293. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bradley J Wicklund is geographically located?
The Bradley J Wicklund is physically situated at the following location: 100 Carr Rd, Plymouth, WI, 530739500.
What is Bradley J Wicklund's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley J Wicklund's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date was the 1366508293 assigned to Bradley J Wicklund?
The Bradley J Wicklund was issued its 1366508293 on 2006-12-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Bradley J Wicklund's information last updated?
The Bradley J Wicklund's information was last updated on 2014-07-15.