Bradford D Smith

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-693 Issued in ME

Legal business name

BRADFORD D SMITH

Practice address

15 Western Ave
Suite 1
Augusta, ME 04330-7340

Phone

(207) 623-2020

Fax

(207) 623-1399

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bradford D Smith, OD

Title

Owner

Phone

(207) 623-2020

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366548059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WESTERN AVE",
            "address_2": "SUITE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307340",
            "telephone_number": "207-623-2020",
            "fax_number": "207-623-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WESTERN AVE",
            "address_2": "SUITE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307340",
            "telephone_number": "207-623-2020",
            "fax_number": "207-623-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD D SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-623-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT-693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED/BC",
            "identifier": "09Z002183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MNT 692",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2119511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PR92498370001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Boylan, FNP
• Margaret Elizabeth Boyle, LCSW
• Audra A Boynton, DMD
• Rebecca Brackett, MD
• Nicole Bradeen
• Angela Bragg, LCSW-CC
• Diane K. Brandt, M.D.
• Elizabeth Brandt
• Carol Branning
• James M Brassard

• Optometrist in Augusta, ME
• Providers in Augusta, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.