Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY MART LANE, OD
Active Sole ProprietorDR. BRADLEY MART LANE, OD is a Optometrist healthcare provider located in PEARISBURG, Virginia. NPI 1255539607 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PEARISBURG, VA
Registration Details
- NPI Number
- 1255539607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2007 (19.096216466854 yrs)
- Last Updated
- May 25, 2011
- License
-
0618001654 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 WENONAH AVEPEARISBURG, VA, 241341638Browse VA providers · Browse ZIP 24134
- Phone
- 5409214116
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PEARISBURG, VA
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL LAYNE BOWLING | OD | 1649239112 |
| MR. NICKOLAS WILSON CLARK | OD | 1740478403 |
| HELEN JACQUELINE CLARK | O.D. | 1972788610 |
| BLAKE HOPKINS | OD | 1619711587 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.