Fielding, Bradley William

Fielding, Bradley William is an individual health care provider with primary practice located at 13 N University Dr , Edmond OK 73034-5206. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fielding, Bradley William can be contacted via phone (405) 341-3567.

Contact Information

Primary practice address
13 N University Dr Edmond OK 73034-5206
Fax: (405) 359-2000
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OK1080 Oklahoma

Profile Details

NPI number 1952301475
LBN Legal business name Fielding, Bradley William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Mar 28th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952301475 NPPES
Oklahoma MEDICAID 100763620A

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