Bradley Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

7747TG Issued in CA

Legal business name

BRADLEY OPTOMETRY INC

Practice address

1160 Live Oak Blvd
Yuba City, CA 95991-3407

Phone

(530) 673-8440

Fax

(530) 673-0177

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

David Bradley, O.D,NPI 1275504391

Title

Sole Director

Phone

(530) 673-8440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• David A. Bradley, O.D.

  • Optometrist
  • Yuba City, CA
  • NPI 1275504391
  Medicare reassignment Care Compare group NPD Authorized official
• Jeremy Kiyoshi Aoki Edwards, O.D.

  • Optometrist
  • Yuba City, CA
  • NPI 1619280294
  Medicare reassignment Care Compare group NPD
• Elizabeth M Hankins, O.D.

  • Optometrist
  • Yuba City, CA
  • NPI 1841632643
  Medicare reassignment

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1669805362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913407",
            "telephone_number": "530-673-8440",
            "fax_number": "530-673-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913407",
            "telephone_number": "530-673-8440",
            "fax_number": "530-673-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "530-673-8440",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7747TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD007747",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Brackbill, RD
• Kiara Rose Bracy
• Braden Partners LP
• Susan Bradfield, MENTAL HEALTH WORKER
• Rusti Lynn Bradford
• David A. Bradley, O.D.
• Kristen Marie Bradley, R.D.
• Steven Ed Bradley, 13762
• Stuart Carter Bradley, PT, DTP
• Brain@Work LLC

• Optometrist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.