Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BONNIE G BRADLEY, OD
Active Sole ProprietorDR. BONNIE G BRADLEY, OD is a Optometrist healthcare provider located in EAST ELLIJAY, Georgia. NPI 1366446338 is currently active in the NPPES registry. Verify at CMS.
Optometrist · EAST ELLIJAY, GA
Registration Details
- NPI Number
- 1366446338
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2005 (21.158910599166 yrs)
- Last Updated
- Dec 5, 2024
- License
-
OPT001314 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
772 MADDOX DRSUITE 132EAST ELLIJAY, GA, 305408194Browse GA providers · Browse ZIP 30540
- Phone
- 7062764455
- Fax
- 7062764458
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in EAST ELLIJAY, GA
| Name | Credential | NPI |
|---|---|---|
| ANDRE BARON | O.D. | 1194815811 |
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.