Whalio Doctors

NPI 1275621161

Jason L Bradley, OD

Practitioner Optometrist Minot, ND

Practice location

Address
207 Main St S, Minot, ND 58701-3915
Phone
(701) 852-5626

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 544 (ND)

Registry record

NPI
1275621161
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Oct 2006
Record last updated
21 Sep 2016

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.