Bradford D Smith

NPI 1366548059 - Optometrist - 152W00000X

NPI Details
NPI 1366548059
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRADFORD D BRADFORD
Position OWNER
Phone (207) 623-2020
Fax (207) 623-1399
Practice Location
15 WESTERN AVE
SUITE 1
AUGUSTA ME, 04330-7340, US
Phone (207) 623-2020
Fax (207) 623-1399
Business Location
15 WESTERN AVE
SUITE 1
AUGUSTA ME, 04330-7340, US
Phone (207) 623-2020
Fax (207) 623-1399
Toxanomy
Taxonomy Code 152W00000X
License State Maine
License Number OPT-693
Remove 1366548059 NPI Number
 

According to our database, Bradford D Smith NPI is 1366548059, taxonomy code is 152W00000X and license number is OPT-693, license state is located at Maine. Bradford D Smith physically located at 15 Western Ave, Augusta ME, 04330-7340. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1366548059 NPI number is provided on an as is basis without warranty of any kind. 1366548059 is maintained by the National Plan & Provider Enumeration System. The contents of Bradford D Smith are for informational purposes only.