Smith, Bradley James

Smith, Bradley James is an sole proprietor health care provider with primary practice located at 370 E Milltown Rd Ste B , Wooster OH 44691-1280. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Bradley James can be contacted via phone (330) 345-1551.

Contact Information

Primary practice address
370 E Milltown Rd Ste B Wooster OH 44691-1280
Phone: (330) 345-1551
Fax: (330) 967-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4806/T1648 Ohio

Profile Details

NPI number 1689670846
LBN Legal business name Smith, Bradley James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Apr 1st, 2020 - about 4 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 1689670846 NPPES
Ohio Other 410048838 RAILROAD MEDICARE
Ohio MEDICAID 2026006 RAILROAD MEDICARE

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