JENNIFER LYNN BRADLEY (NPI# 1487093803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487093803 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN BRADLEY |
| Other Name | JENNIFER LYNN CUSSON |
| Credential | O.D. |
| Practice Address |
338 S Washington Ave. Titusville FL 32796-3548 |
| Practice Telephone | 3212692021 |
| Practice Fax Number | 3212692011 |
| Mailing Telephone | 3212692021 |
| Mailing Fax Number | 3212692011 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC4844 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043781792 | Jennifer Bradley | Specialist | 800 Rose Street Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1386008647 | Jennifer Bradley | Case Manager/Care Coordinator | 1105 Hawthorne Dr, Midwest City, OK 73110-7614 | 2016-04-12 |
| 1194101402 | Jennifer Bradley | Physical Therapist | 3200 Labore Rd Ste 102, Vadnais Heights, MN 55110-5189 | 2015-08-10 |
| 1114303914 | Jennifer Bradley | Lactation Consultant, Non-RN | 136 Corbin Cir, Cabot, AR 72023-7733 | 2015-08-04 |
| 1154769123 | Jennifer Marie Bradley | Speech-Language Pathologist | 214 Umbrella Pl, Jupiter, FL 33458-1625 | 2013-06-12 |
| 1912257395 | Jennifer Renee Bradley | Counselor | 16700 Highway 280 Ste A222, Chelsea, AL 35043-8325 | 2012-09-13 |
| 1225312119 | Jennifer Michelle Bradley | Nurse Practitioner | Vanderbilt Eskind Diabetes Clinic 8210 Mce, South Tower, 1215 21st Ave South, Nashville, TN 37232-8148 | 2011-10-10 |
| 1326250184 | Jennifer Elizabeth Bradley | Psychologist | 205 N College Ave Ste 514, Bloomington, IN 47404-3952 | 2007-05-04 |
| 1740802073 | Jennifer Bradley | Nurse Practitioner | 1716 Hartford St., Lafayette, IN 47904-2138 | 2020-05-08 |
| 1609334184 | Jennifer Angelyn Bradley | Social Worker | 101 Broad St Ste 201, Lake Geneva, WI 53147-2061 | 2019-03-04 |
| Street Address |
338 S WASHINGTON AVE. |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1831392323 | Bernadette Susan Woods-mcshane Inc | Optometrist | 4310 S Hopkins Ave, Titusville, FL 32780-6610 | 2007-06-11 |
| 1356419550 | Richard Bruce Jensen | Optometrist | 414 Garden St, Titusville, FL 32796-2848 | 2006-12-04 |
| 1003982851 | Warren S. Schmitt | Optometrist | 1851 Knox Mcrae Dr, Titusville, FL 32780-5492 | 2006-11-24 |
| 1992878771 | Therese B Dahl | Optometrist | 3659 South Hopkins Ave, Suite D, Titusville, FL 32780 | 2006-11-17 |
| 1700856861 | Mark Raymond Watson | Optometrist | 3175 Cheney Hwy, Titusville, FL 32780-5979 | 2006-01-23 |
| 1063403012 | John R Owens | Optometrist | 407 S Washington Ave, Titusville, FL 32796-3500 | 2005-10-31 |
| 1245222934 | Carroll Gregory Aker | Optometrist | 338 S Washington Ave, Titusville, FL 32796-3548 | 2005-08-18 |
| 1245722917 | Dillon Smith | Optometrist | 730 S Washington Ave, Titusville, FL 32780 | 2018-05-30 |
| 1528424439 | Hendrixs Eye Care, Inc. | Optometrist | 1917 Knox Mcrae Dr, Titusville, FL 32780-5360 | 2016-01-07 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
Please comment or provide details below to improve the information on JENNIFER LYNN BRADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.