NPIMap

Organization Active NPI

Bradley T Doolen OD LLC

  • Optometrist
  • Verona, NJ
National Provider Identifier
1093249435
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRADLEY T DOOLEN OD LLC
Practice address
573 Bloomfield Ave
Verona, NJ 07044-1818
Phone
(973) 239-4518
Fax
(973) 239-6210
NPI assigned
Apr 12, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Bradley T DoolenNPI 1720164189
Title
President/Provider
Phone
(973) 239-4518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NJ Primary

Addresses

Primary practice location

573 Bloomfield Ave
Verona, NJ 07044-1818

Mailing address

573 Bloomfield Ave
Verona, NJ 07044-1818
Phone (973) 239-4518

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1093249435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441818",
            "telephone_number": "973-239-4518",
            "fax_number": "973-239-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441818",
            "telephone_number": "973-239-4518",
            "fax_number": "973-239-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY T DOOLEN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "DOOLEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "973-239-4518"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.