DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANNON BRADLEY, OD

Active Sole Proprietor

TANNON BRADLEY, OD is a Optometrist healthcare provider located in PROVO, Utah. NPI 1972297109 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PROVO, UT

Registration Details

NPI Number
1972297109
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2023 (2.9949750479629 yrs)
Last Updated
Jun 8, 2023
License
13442708-9934 (UT)
Sole Proprietor
Yes

Practice Information

Address
1355 N UNIVERSITY AVE STE 100
PROVO, UT, 846042721
Browse UT providers · Browse ZIP 84604
Phone
8013774333
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in PROVO, UT

Name Credential NPI
DR. FRANK MIDDLETON EDMUNDS O.D. 1578560165
DR. JOE REX HAGGARD O.D. 1508863978
DR. BLAINE F BIRD O.D. 1871581652
DR. PHILLIP ANTHONY PLOTHOW OD 1235110149
DR. DELL C MORRIS OD 1619947991
DR. TODD J LEWIS OD 1801856976
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.