Active NPIIndividual provider

Mr. Bradley P Bohman, LO

Technician/Technologist, Optician in Waterford, Connecticut

NPI Number1023245776
Practice location
Vision Center, 155 Waterford Pkwy North, Waterford, CT 06385
Fax
—
Last updated
June 19, 2009

Bradley Peter Bohman is a Technician/Technologist, Optician based in Waterford, CT. Bradley Peter Bohman practices in Waterford, CT and has the professional credentials of LO. The NPI Number for Bradley Peter Bohman is 1023245776 and holds a License No. 632 (CT). The current practice location address for Bradley Peter Bohman is Vision Center, 155 Waterford Pkwy North, Waterford, CT 06385 and can be reached out via phone at 860-437-3748.

Provider Profile Details

NPI Number
1023245776
Provider Name
Bradley Peter Bohman
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
Vision Center, 155 Waterford Pkwy North, Waterford, CT 06385
Phone Number
860-437-3748
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2009
Last Update Date
June 19, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
Vision Center
155 Waterford Pkwy North
Waterford, CT 06385
Zip
06385
Phone Number
860-437-3748
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
38 Oak St
Westerly, RI 02891-1741
City
Westerly
State
RI
Zip
02891-1741
Phone Number
401-596-9482

License Information

License Number
632
License State
CT
Taxonomy
Technician/Technologist, Optician · 156FX1800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Bradley P Bohman, LO?

The NPI number of Mr. Bradley P Bohman, LO is 1023245776. It was assigned on June 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Bradley P Bohman, LO?

Mr. Bradley P Bohman, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 632.

Where does Mr. Bradley P Bohman, LO practice?

The practice location is Vision Center, 155 Waterford Pkwy North, Waterford, CT 06385. The office can be reached at 860-437-3748 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023245776 directly on the NPPES registry website.

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