Organization Active NPI

Bradley a Wruble OD PLLC

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1184904153
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2181 Issued in NC
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

Updated by the provider on Dec 13, 2016

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Belmont Eye2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

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.

Verify at the official NPI Registry.