Bradley J Clodfelter Od, P.c.

  • 1104072024 NPI Number
  • |
  • Actived: 15 years ago
  • |
Bradley J Clodfelter Od, P.c. is a health care provider based in Chicago, IL. The NPI Number is 1104072024 and it has been active since 15 years ago. The specialty is Optometrist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Optometrist services, Bradley J Clodfelter Od, P.c. is an excellent option. We are here to help you get the care you need.

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Overview of Bradley J Clodfelter Od, P.c.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 08/12/2008
  • Last updated: 05/09/2011

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 046007766
  • License State: IL

Provider Mailing Address

  • Address: 3225 W 111th St
    Suite 102
    Chicago, IL 60655
  • Phone: 773-238-2142
  • Fax: 773-238-9461

Provider Practice Location

  • Address: 3225 W 111th St
    Suite 102
    Chicago, IL 60655
  • Phone: 773-238-2142
  • Fax: 773-238-9461

Authorized Official

  • Name: DR. Bradley J Clodfelter, O.d., P.c. O.D.
  • Position/Title: Optometrist
  • Telephone Number: 773-238-2142

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 046007766
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: DN7029
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: RAILROAD MEDICARE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Bradley J Clodfelter Od, P.c.?
  • A: The npi number for Bradley J Clodfelter Od, P.c. is 1104072024.
  • Q: What are Bradley J Clodfelter Od, P.c.'s specialties?
  • A: Bradley J Clodfelter Od, P.c.'s specialties are Optometrist and different specialities.
  • Q: Where is Bradley J Clodfelter Od, P.c. business practice location?
  • A: Bradley J Clodfelter Od, P.c. business practice location is 3225 W 111th St, Chicago, IL 60655.
  • Q: How to contact Bradley J Clodfelter Od, P.c.?
  • A: You can contact Bradley J Clodfelter Od, P.c. via 773-238-2142.
  • Q: What is the authorized official for Bradley J Clodfelter Od, P.c.?
  • A: The authorized office name is DR. Bradley J Clodfelter, O.d., P.c. O.D. with position/title is Optometrist and you can reach the authorized official via phone number 7732382142.
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