Sutton, Bradley

Sutton, Bradley is an individual health care provider with primary practice located at 1160 W Michigan St Ste 100 , Indianapolis IN 46202-5209. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sutton, Bradley can be contacted via phone (317) 278-1470.

Contact Information

Primary practice address
1160 W Michigan St Ste 100 Indianapolis IN 46202-5209
Phone: (317) 278-1470
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 180003042 Indiana

Profile Details

NPI number 1922077221
LBN Legal business name Sutton, Bradley
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922077221 NPPES
Indiana MEDICAID 200252230

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