BRADLEY CALLISTER (NPI# 1033639349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033639349 |
| Entity Type | Individual |
| Full Name | BRADLEY CALLISTER |
| Credential | OD |
| Practice Address |
140 Avenida Del Mar San Clemente CA 92672-4016 |
| Practice Telephone | 9494921853 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33717TLG | CA | Eye and Vision Services Providers |
| Street Address |
140 AVENIDA DEL MAR |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497854384 | Griffin Optometric Group | Optometrist | 140 Avenida Del Mar, San Clemente, CA 92672-4016 | 2006-09-21 |
| 1285820696 | Griffinted P D D Inc | Optometrist | 140 Avenida Del Mar, San Clemente, CA 92672-4016 | 2007-09-19 |
| 1164569711 | Griffin Optometric Group | Eyewear Supplier (Equipment, not the service) | 140 Avenida Del Mar, San Clemente, CA 92672-4016 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104489491 | Gateway Village Optometry | Optometrist | 806 Avenida Pico, Ste. H, San Clemente, CA 92673-5639 | 2019-04-22 |
| 1912220450 | The Eye Doctor Optometry | Optometrist | 806 Avenida Pico Ste H, San Clemente, CA 92673-5695 | 2010-03-11 |
| 1497854384 | Griffin Optometric Group | Optometrist | 140 Avenida Del Mar, San Clemente, CA 92672-4016 | 2006-09-21 |
| 1003886615 | David Joseph Nota | Optometrist | 224 Avenida Del Mar, Suite A, San Clemente, CA 92672-4011 | 2006-01-25 |
| 1093019911 | Rick Abelson | Optometrist | 806 Avenida Pico Ste H, San Clemente, CA 92673-5695 | 2011-01-06 |
| 1427366145 | San Clemente Optometry Corp | Optometrist | 224 Avenida Del Mar, Suite A, San Clemente, CA 92672-4011 | 2010-09-15 |
| 1285820696 | Griffinted P D D Inc | Optometrist | 140 Avenida Del Mar, San Clemente, CA 92672-4016 | 2007-09-19 |
| 1174676613 | Stephanie L Mulick | Optometrist | 653 Camino De Los Mares, San Clemente, CA 92673 | 2007-01-19 |
| 1164589404 | Mi-jin Lim | Optometrist | 638 Camino De Los Mares, A120, San Clemente, CA 92673-2848 | 2007-01-03 |
| 1235297284 | Rebecca L Ng | Optometrist | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 | 2006-12-04 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.