MR. TYLER MICHAEL BRADFORD (NPI# 1891108957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891108957 |
| Entity Type | Individual |
| Full Name | MR. TYLER MICHAEL BRADFORD |
| Practice Address |
1200 W Deyoung St Marion IL 62959-4437 |
| Practice Telephone | 8003447058 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046.010784 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760551899 | Tyler J. Bradford | Obstetrics & Gynecology | 925 Highland Blvd Ste 1210, Bozeman, MT 59715-6905 | 2006-11-06 |
| Street Address |
1200 W DEYOUNG ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865643 | Marion Eye Centers Ltd. | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2005-07-20 |
| 1518319029 | Ashley Aylesworth | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2016-07-08 |
| 1881979136 | Megan Moore | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2011-10-19 |
| 1235413246 | Marion Eye Center Anesthesia Group Inc | Anesthesiology | 1200 W Deyoung St, Marion, IL 62959-4437 | 2011-10-10 |
| 1407015886 | Ayesha Qurratulain Rather | Internal Medicine | 1200 W Deyoung St, Marion, IL 62959-4437 | 2008-06-02 |
| 1063692903 | Marion Eye Centers Ltd | Durable Medical Equipment & Medical Supplies | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-11-08 |
| 1013117159 | Emily Smith | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-07-18 |
| 1902009632 | Keith Tyhurst | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-06-08 |
| 1154543916 | Faisel Ahmad | Internal Medicine | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-05-02 |
| 1558419325 | Robert Carl Smith | Optometrist | 1200 W Deyoung St, Marion, IL 62959-4437 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1861988610 | Shannon Alisha Howell | Optometrist | 1020 Terrace Dr Ste 100, Marion, VA 24354-4392 | 2018-07-05 |
| 1043565260 | Oda Eye Care, L.L.C. | Optometrist | 1377 Marion Waldo Rd, Marion, OH 43302-7435 | 2012-07-14 |
| 1033302294 | Melvin L. Frecker O.d. | Optometrist | 304 S Baldwin Ave, Marion, IN 46952-3528 | 2007-08-21 |
| 1407901143 | Tommy Joe Miller | Optometrist | 1723 Marion Mount Gilead Rd, Marion, OH 43302-7842 | 2007-01-24 |
| 1275692220 | Iowa Eye Care PC | Optometrist | 1065 E Post Rd, Marion, IA 52302-5214 | 2006-12-06 |
| 1043385198 | Melvin L. Frecker | Optometrist | 1402 W Spencer Ave, Marion, IN 46952-3413 | 2006-11-22 |
| 1467533646 | Richard G. Bursua | Optometrist | 1306 N . Russell St., Marion, IL 62959 | 2006-10-17 |
| 1154414092 | John David Power | Optometrist | 3411 Office Park Dr, Marion, IL 62959-6478 | 2006-10-02 |
| 1598858052 | Allyson Jean Mcphearson | Optometrist | 3240 South Western Ave, Marion, IN 46952 | 2006-10-02 |
| 1073613279 | Jane Herman | Optometrist | 3000 W Deyoung St Ste 500, Marion, IL 62959-5551 | 2006-09-25 |
| Find all providers in MARION | ||||
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| 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.