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Contact Information

ARLOGIA M BRADSHAW, OD
4141 MAYFIELD RD
SOUTH EUCLID, OH44121-3041
 Phone: 216-321-9630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ARLOGIA M BRADSHAW · (Female)

NPI # 1124182753
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/20/2006
Last updated 08/04/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 3776T1005
  • OH Medicaid 0611127
  • OH Other 2163219630 VISION SERVICE PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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