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Contact Information

BRADLEY J BAUGHMAN, OD
8216 N MAIN ST
DAYTON, OH45415-1641
 Phone: 937-898-2300
 Fax: 937-898-2348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRADLEY J BAUGHMAN · (Male)

NPI # 1215934625
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/30/2005
Last updated 04/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # T1892
  • OH Medicaid 2298893
  • OH Other 000000064638 ANTHEM
  • OH Other 2201360 UHC
Hospital affiliation(s)
  • GRANDVIEW HOSPITAL & MEDICAL CENTER - (Acute Care)
    405 GRAND AVENUE
    DAYTON, OH 45405
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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