Bradley A. Shaffer, O.d., P.c.

NPI 1003154915 - Optometrist - 152W00000X

NPI Details
NPI 1003154915
Enumeration Date 01/28/2013
Last Updated 03/27/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRADLEY ANDREW BRADLEY
Position OWNER
Phone (423) 834-9020
Fax (423) 834-9021
Practice Location
106C KAREN DR
SODDY DAISY TN, 37379-4337, US
Phone (423) 834-9020
Fax (423) 834-9021
Business Location
PO BOX 505
DAYTON TN, 37321-0505, US
Phone (423) 779-7712
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number TN2767
Remove 1003154915 NPI Number
 

According to our database, Bradley A. Shaffer, O.d., P.c. NPI is 1003154915, taxonomy code is 152W00000X and license number is TN2767, license state is located at Tennessee. Bradley A. Shaffer, O.d., P.c. physically located at 106c Karen Dr, Soddy Daisy TN, 37379-4337. NPI Number 1033115704 has the healthcare provider type.

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1003154915 NPI number is provided on an as is basis without warranty of any kind. 1003154915 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley A. Shaffer, O.d., P.c. are for informational purposes only.