NPI 1003154915

Bradley A. Shaffer, O.D., P.C.

Organisation Optometrist Soddy Daisy, TN

Practice location

Address: 106c Karen Dr, Soddy Daisy, TN 37379-4337
Phone: (423) 834-9020
Fax: (423) 834-9021
Mailing address: PO Box 505, Dayton, TN 37321-0505

Authorised official

Name: Bradley Andrew Shaffer
Title: Owner
Phone: (423) 779-7712

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TN2767 (TN)

Other Optometrist providers in Tennessee →

Registry record

NPI: 1003154915
Entity type: Organization
NPI issued: 28 Jan 2013
Record last updated: 27 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.