Denton Eyedoctors

Primary specialty

OptometristTaxonomy code 152W00000X

License

4228T Issued in TX

Legal business name

DENTON EYEDOCTORS

Practice address

207 W Hickory St Ste 102
Denton, TX 76201-4147

Phone

(940) 293-1127

Fax

(866) 722-4820

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Jo Bradford, OD

Title

Owner

Phone

(940) 293-1127

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• REBECCA J BRADFORD, OD Former legal business name

Locations

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1699140665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014147",
            "telephone_number": "940-293-1127",
            "fax_number": "866-722-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014147",
            "telephone_number": "940-293-1127",
            "fax_number": "866-722-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON EYEDOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-293-1127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4228T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343154601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REBECCA J BRADFORD, OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Denton, TX
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• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.