BRADLEY J. SMITH; NPI #1699946004

Contact Information

BRADLEY J. SMITH

370 E MILLTOWN RD STE B
WOOSTER, OH 44691-1280

Phone: 330-345-1551
Fax: 330-967-0053
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BRADLEY J. SMITH

NPI # 1699946004

LBN Legal business name BRADLEY J. SMITH

Authorized official BRADLEY SMITH - (OWNER OPTOMETRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/13/2008

Last updated 04/01/2020 - About 6 years ago

Identifiers

License #

4806

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRADLEY J. SMITH

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BRADLEY J. SMITH

Reviews for BRADLEY J. SMITH