Baggarly, Brad Anthony
Baggarly, Brad Anthony is an individual health care provider with primary practice located at 695 W Foothill Blvd , Claremont CA 91711-3490. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Baggarly, Brad Anthony can be contacted via phone (909) 625-7861.Contact Information
Primary practice address
695 W Foothill Blvd
Claremont CA 91711-3490
Phone: (909) 625-7861
Fax: (909) 621-0742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9471-T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 9471-T | California |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 9471-T | California |
Profile Details
| NPI number | 1861541617 |
|---|---|
| LBN Legal business name | Baggarly, Brad Anthony |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Apr 3rd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861541617 | NPPES |
| California | Other | WOP9471A | MEDICARE PTAN |
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