Bradford Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

9519T Issued in CA

Legal business name

BRADFORD EYECARE INC

Practice address

2741 Vista Way
Suite 107
Oceanside, CA 92054-9011

Phone

(760) 434-3308

Fax

(760) 434-1604

NPI assigned

Dec 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Bradford, OD

Title

Ceo

Phone

(760) 434-3359

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1093103012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 VISTA WAY",
            "address_2": "SUITE 107",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920549011",
            "telephone_number": "760-434-3308",
            "fax_number": "760-434-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 VISTA WAY",
            "address_2": "SUITE 107",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920549011",
            "telephone_number": "760-434-3308",
            "fax_number": "760-434-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-434-3359",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9519T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boy Or Girl Imaging/ 1St Choice Ultrasound
• Tanner Brock Boydstun
• Kristila Brace, M.A.
• Richard Jeffrey Brace, SUDRC
• Katie Mae E. Bradbury, BSW
• Bradford Optometry Corporation
• George Bradford, OD
• Denise Bradley
• Jenna Nicole Bradley, DPT
• Madison Bradley

• Optometrist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.