MICHELLE BRADLEY (NPI# 1790252583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790252583 |
Entity Type | Individual |
Full Name | MICHELLE BRADLEY |
Practice Address |
751 Oak St Ste 200 Jacksonville FL 32204-3361 |
Mailing Address |
3120 E Banister Rd St Augustine FL 32092-3028 |
Practice Telephone | 9046341040 |
Practice Fax Number | 9046340109 |
Mailing Telephone | 9049829917 |
Mailing Fax Number | 9046340109 |
Enumeration Date | 2018-10-30 |
Last Update Date | 2018-10-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
5586 | FL | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568098259 | Michelle Bradley | Community Health Worker | 3514 S Liberty St, Independence, MO 64055-3256 | 2020-03-13 |
1083182943 | Michelle Bradley | Home Health | 901 Crestmore Ave, Dayton, OH 45402-5216 | 2018-11-08 |
1033665294 | Michelle K Bradley | Speech-Language Pathologist | 214 Aplin Branch Rd, Cottontown, TN 37048-9244 | 2016-08-28 |
1114348646 | Michelle Bradley | Specialist | 167 Ramona Ave, Staten Island, NY 10312-2716 | 2013-12-31 |
1053755066 | Michelle Hurrell Bradley | Pharmacist | 770 Kinnear Rd Ste 100, Columbus, OH 43212-1472 | 2013-04-21 |
1801044227 | Michelle Lynn Bradley | Occupational Therapy Assistant | 609 Ensenada Dr, Orlando, FL 32825-7909 | 2008-08-28 |
1649634387 | Michelle Harbaugh Bradley | Physical Therapist | 5151 Harry Hines Blvd, Dallas, TX 75390-9055 | 2016-04-08 |
1760843957 | Michelle Bradley | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2016-03-15 |
1093198103 | Michelle Renee Bradley | Clinical Exercise Physiologist | 815 Bay Ave, Capitola, CA 95010-2186 | 2015-07-07 |
1881937365 | Michelle Bradley | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2013-04-03 |
Street Address |
751 OAK ST STE 200 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32204-3361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023118379 | Jeffrey Herschel Levenson | Ophthalmology | 751 Oak St Ste 200, Jacksonville, FL 32204-3361 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
Find all providers in zip 32204 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851868087 | National Vision Inc | Technician/Technologist | 6752 Normandy Blvd, Jacksonville, FL 32205-2202 | 2018-10-25 |
1417435470 | Vision Benefits 4 All, Inc. | Technician/Technologist | 9424 Baymeadows Rd Ste 250, Jacksonville, FL 32256 | 2018-08-01 |
1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
1174989305 | Wal-mart Stores East, Lp | Technician/Technologist | 7075 Collins Rd, Jacksonville, FL 32244-5041 | 2016-01-04 |
1346589017 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6001 Argyle Forest Blvd Ste 18b-19, Jacksonville, FL 32244-6664 | 2013-01-31 |
1760758296 | America's Best Contacts & Eyeglasses | Technician/Technologist | 10991 San Jose Blvd Ste 32, Jacksonville, FL 32223-6635 | 2012-03-29 |
1932472362 | America's Best Contacts & Eyeglasses | Technician/Technologist | 13221 City Station Dr Ste 153, Jacksonville, FL 32218-7251 | 2012-02-15 |
1932374311 | Jonathan P Lockerman | Technician/Technologist | 9430 Arlington Expy, 9430 Arlington Expy, Jacksonville, FL 32225-8231 | 2008-04-25 |
1962617746 | John O Wilcox | Technician/Technologist | 47 W Adams St, Jacksonville, FL 32202-3601 | 2007-05-14 |
1164649505 | Optical Shoppe of Jax Inc | Technician/Technologist | 3636 University Blvd S A-1, Jacksonville, FL 32216-4210 | 2007-04-19 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32204 |
Please comment or provide details below to improve the information on MICHELLE 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.