Bradford Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRADFORD OPTOMETRY CORPORATION

Practice address

705 College Blvd
Oceanside, CA 92057-6259

Phone

(760) 631-2877

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

George A Bradford, ODNPI 1063800209

Title

President

Phone

(760) 473-2820

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• George Bradford, OD

  • Optometrist
  • Oceanside, CA
  • NPI 1063800209
  Medicare reassignment NPD Authorized official
• Norman Charles Ratner, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1811094709
  Medicare reassignment NPD

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1881459345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 DIVISION ST APT B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543275",
            "telephone_number": "760-473-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 COLLEGE BLVD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576259",
            "telephone_number": "760-631-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545600",
            "country_code": "US",
            "telephone_number": "760-473-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRADFORD OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-473-2820",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Brock Boydstun
• Kristila Brace, M.A.
• Richard Jeffrey Brace, SUDRC
• Katie Mae E. Bradbury, BSW
• Bradford Eyecare Inc
• George Bradford, OD
• Denise Bradley
• Jenna Nicole Bradley, DPT
• Madison Bradley
• Nevin Bradley, B.A.

• Optometrist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.