DR. Bradley Dominick Sparks, O.D.

NPI #1518316694 in Carbondale, Pennsylvania

Provider Information

NPI Number: 1518316694
Entity Type: Individual
Name: DR. Bradley Dominick Sparks, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 8, 2016
Last Updated: Sep 23, 2016

Practice Location

Address: 30 N CHURCH ST
City: Carbondale
State: Pennsylvania
ZIP Code: 18407-1905
Phone: (570) 282-4080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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