Organization Active NPI

Bradley W. Fielding Optometrist, Inc

  • Optometrist
  • Edmond, OK
National Provider Identifier
1376756809
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK1080 Issued in OK
Legal business name
BRADLEY W. FIELDING OPTOMETRIST, INC
Practice address
13 N University Dr
Edmond, OK 73034-5206
Phone
(405) 341-3567
Fax
(405) 359-2000
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Bradley William Fielding, O.D.
Title
Owner President
Phone
(405) 341-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OK1080 OK Primary

Addresses

Primary practice location

13 N University Dr
Edmond, OK 73034-5206

Mailing address

13 N University Dr
Edmond, OK 73034-5206
Phone (405) 341-3567

National Provider Directory

National Provider Directory

Locations

13 N University Dr
Edmond, OK 73034
Phone (405) 341-3413

318 S Littler Ave
Edmond, OK 73034
Phone (405) 341-3567

Practitioners 3

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1376756809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 N UNIVERSITY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345206",
            "telephone_number": "405-341-3567",
            "fax_number": "405-359-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N UNIVERSITY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345206",
            "telephone_number": "405-341-3567",
            "fax_number": "405-359-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY W. FIELDING OPTOMETRIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "405-341-3567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK1080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.