Whalio Doctors

NPI 1942448675

Bradley P Mundy, OD

Practitioner Optometrist Buchanan, MI

Practice location

Address
400 E Front St STE a, Buchanan, MI 49107-1403
Phone
(269) 695-3434
Fax
(269) 695-2656

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901004630 (MI)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003559 (IN)

Registry record

NPI
1942448675
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Feb 2009
Record last updated
24 Mar 2017

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.