Bohman, Bradley Peter

Bohman, Bradley Peter is an individual health care provider with primary practice located at Vision Center 155 Waterford Pkwy North, Waterford CT 06385. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bohman, Bradley Peter can be contacted via phone (860) 437-3748.

Contact Information

Primary practice address
Vision Center 155 Waterford Pkwy North Waterford CT 06385
Phone: (860) 437-3748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 632 Connecticut

Profile Details

NPI number 1023245776
LBN Legal business name Bohman, Bradley Peter
Credentials LO
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2009
Last updated Jun 19th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023245776 NPPES
Connecticut Other 581910859 TAX ID

Popular Providers