DR. Jonathan R Bradley, O.D.

NPI #1033371729 in Decatur, Illinois

Provider Information

NPI Number: 1033371729
Entity Type: Individual
Name: DR. Jonathan R Bradley, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 25, 2008
Last Updated: Dec 7, 2012

Practice Location

Address: 4837 E RT 36
Address 2: CENTRAL ILLINOIS VISION CENTER
City: Decatur
State: Illinois
ZIP Code: 62521
Phone: (217) 864-1362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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