Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY BYWATER, O.D.
ActiveBRADLEY BYWATER, O.D. is a Optometrist healthcare provider located in SAN TAN VALLEY, Arizona. NPI 1407159890 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAN TAN VALLEY, AZ
Registration Details
- NPI Number
- 1407159890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2010 (15.501325300826 yrs)
- Last Updated
- Feb 27, 2018
- Licenses
-
956 (NV)1783 (AZ)
Practice Information
- Address
-
85 W COMBS RD STE 108SAN TAN VALLEY, AZ, 851409107Browse AZ providers · Browse ZIP 85140
- Phone
- 6022394286
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in SAN TAN VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY JON DREW | O.D. | 1659322568 |
| DR. KRISTI ANN IVERSON | OD | 1669407581 |
| MATTHEW GILLON | OD | 1578189346 |
| CAYDEN CARPENTER | OD | 1770324576 |
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.