Bradley J. Smith

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4806 Issued in OH

Legal business name

BRADLEY J. SMITH

Practice address

370 E Milltown Rd Ste B
Wooster, OH 44691-1280

Phone

(330) 345-1551

Fax

(330) 967-0053

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bradley James Smith, O.D.NPI 1689670846

Title

Owner Optometrist

Phone

(330) 345-1551

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Bradley James Smith, O.D.

  • Optometrist
  • Wooster, OH
  • NPI 1689670846
  NPD Authorized official
• Timothy C. Karg, O.D.

  • Optometrist
  • Wooster, OH
  • NPI 1114995255
  NPD (past)
• Joel A Kennedy, O.D.

  • Optometrist
  • Wooster, OH
  • NPI 1376655787
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1699946004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MILLTOWN RD STE B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911280",
            "telephone_number": "330-345-1551",
            "fax_number": "330-967-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MILLTOWN RD STE B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911280",
            "telephone_number": "330-345-1551",
            "fax_number": "330-967-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J. SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "330-345-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "4806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Boyer
• Halee Boyer
• Kelly E Boyer
• Shannon L Bozeman, QMHS-M
• Jeffrey Bradford, LPCC
• Jason Bradley, QMHS
• Leona Jane Brannon, LPN
• Tiffany Irene Brannon, M.ED, LPCA
• Carli Braun, PT
• Dorian Darnel Spivey Breedlove

• Eyewear Supplier in Wooster, OH
• Providers in Wooster, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.