Timothy Bradshaw OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TIMOTHY BRADSHAW OD A PROFESSIONAL CORPORATION

Practice address

1360 Eastlake Pkwy
Chula Vista, CA 91915-4116

Phone

(619) 500-5038

Fax

(619) 361-7152

NPI assigned

Jul 9, 2026

Last updated

Aug 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Bradshaw, ODNPI 1457704256

Title

Optometrist

Phone

(619) 500-5038

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Lewis Bradshaw, O.D.

  • Optometrist
  • Chula Vista, CA
  • NPI 1457704256
  Authorized official Same address or phone

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1881512499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 EASTLAKE PKWY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919154116",
            "telephone_number": "619-500-5038",
            "fax_number": "619-361-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 EASTLAKE PKWY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919154116",
            "telephone_number": "619-500-5038",
            "fax_number": "619-361-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY BRADSHAW OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-500-5038",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Omed Kazuharu Thurston
• Angela Jae Tibayan
• John Emery Tillner Jr., DDS
• Isiah Timbol
• Marlon Timog
• Earl Aeron Angelo Tuazon Timpog
• San Aye Tin, D.D.S.
• Diana Tinajero
• Irene Malabanan Ting, D.M.D
• Jenna Lee Tinger, RN

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.