Bradley G Gruver & Kenneth L Koch PTRS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRADLEY G GRUVER & KENNETH L KOCH PTRS

Practice address

124 E Rowan Ave
Suite 101
Spokane, WA 99207-1214

Phone

(509) 487-5456

Fax

(509) 484-0082

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Lyle Koch, OD

Title

Partner

Phone

(509) 487-5456

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Gene Gruver, OD

  • Optometrist
  • Spokane, WA
  • NPI 1396828950
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1356412605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E ROWAN AVE",
            "address_2": "SUITE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071214",
            "telephone_number": "509-487-5456",
            "fax_number": "509-484-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E ROWAN AVE",
            "address_2": "SUITE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071214",
            "telephone_number": "509-487-5456",
            "fax_number": "509-484-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY G GRUVER & KENNETH L KOCH PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "509-487-5456",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Bradeen
• Christine Rose Bradfish, RN
• Kathryn Bradford, MA
• Bradle Plaster Lemone PLLC
• Yvonne Bradle, LAC
• Bradley G Shern, DMD
• Bradley L Decounter DDS Ms LLC
• Anthony Bradley
• Brianna Bradley, LICSW
• Cedric Bradley

• Optometrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.