Active NPI
Bradley a Wruble OD PLLC
- Optometrist
- Charlotte, NC
National Provider Identifier
1184904153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2181
- Legal business name
- BRADLEY A WRUBLE OD PLLC
- Doing business as
- Tryon Eye Associates
- Practice address
- 8180 S. Tryon St
Charlotte, NC 28273 - Phone
- (704) 588-9219
- Fax
- (704) 588-8761
- NPI assigned
- Aug 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bradley Alan Wrubmle, O.D.
- Title
- Optometrist/President
- Phone
- (704) 588-9219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2181 | NC | Primary |
Addresses
Primary practice location
8180 S. Tryon St
Charlotte, NC 28273
Mailing address
PO Box 1330
Belmont, NC 28012-0034
Phone (704) 588-9219
Other names 1
- Tryon Eye Associates
National Provider Directory
National Provider Directory- Tax ID family
- Belmont Eye
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Belmont, NC
- NPI 1265863831
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Belmont, NC
- NPI 1811125941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481587200000",
"number": "1184904153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "BELMONT",
"state": "NC",
"postal_code": "280120034",
"telephone_number": "704-588-9219",
"fax_number": "704-588-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8180 S. TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28273",
"telephone_number": "704-588-9219",
"fax_number": "704-588-8761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRADLEY A WRUBLE OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-23",
"last_updated": "2016-12-13",
"status": "A",
"authorized_official_last_name": "WRUBMLE",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
"authorized_official_telephone_number": "704-588-9219",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "2181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tryon Eye Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.