Lightfoot, Bradley J
Lightfoot, Bradley J is an individual health care provider with primary practice located at 2606 116Th Ave Ne Ste 100 , Bellevue WA 98004-1422. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lightfoot, Bradley J can be contacted via phone (425) 462-7664.Contact Information
Primary practice address
2606 116Th Ave Ne Ste 100
Bellevue WA 98004-1422
Phone: (425) 462-7664
Fax: (425) 462-6429
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | AT2798 | Oregon |
Eye and Vision Services Providers / Optometrist | 152W00000X | OPTT308 | Alaska |
Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003839 | Washington |
Profile Details
NPI number | 1144229394 |
---|---|
LBN Legal business name | Lightfoot, Bradley J |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | Dec 7th, 2020 - about 5 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 | 1144229394 | NPPES |
Oregon | MEDICAID | 1144229394 | |
Oregon | MEDICAID | 1023294 | |
Oregon | MEDICAID | 2028348 |
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