Bradshaw Optometry

LBN: Bradshaw Optometry
Bradshaw Optometry is an health care organization with primary practice located at 8829 Sheldon Rd Ste 150 , Elk Grove CA 95624-5045. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Bradshaw Optometry can be contacted via phone (916) 682-5558, or through Kim, Paul K via phone (916) 682-5558.

Contact Information

Primary practice address
8829 Sheldon Rd Ste 150 Elk Grove CA 95624-5045
Phone: (916) 682-5558
Fax: (916) 688-5569
Website:
Map and Directions
Authorized official contact:
Name: Kim, Paul K Doctor of Optometry (OD)
Phone: (916) 682-5558

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 10618T California

Profile Details

NPI number 1073726022
LBN Legal business name Bradshaw Optometry
DBA Doing business as
Authorized official Kim, Paul K Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073726022 NPPES
California Other 19222 SPECTERA
California MEDICAID SD0106180 SPECTERA
California Other 14460 SPECTERA
California Other EYEMED SPECTERA

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