Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JACK BRADLEY
Active Sole ProprietorMICHAEL JACK BRADLEY is a Optician, Dispensing healthcare provider located in FORT WORTH, Texas. NPI 1407907348 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · FORT WORTH, TX
Registration Details
- NPI Number
- 1407907348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.53424972567 yrs)
- Last Updated
- Jan 25, 2008
- License
-
R0166 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6551 HARRIS PKWYSTE 205FORT WORTH, TX, 761326103Browse TX providers · Browse ZIP 76132
- Phone
- 8173706118
- Fax
- 8173707118
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL JOSEPH ANDREWS | — | 1629164058 |
| MRS. JANICE KAY FAULKNER | OPTICIAN OWNER | 1013050319 |
| CHRISTINA WOLINSKI | — | 1558636324 |
| DARY PRUPES | — | 1710307897 |
| ZAHEER HABIBI | OPTICIAN | 1447636600 |
| SANDRA GAIL GACHTER | — | 1023740347 |
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.