DR. BRADLEY INGALLS HALL (NPI# 1326304247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326304247 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY INGALLS HALL |
| Credential | O.D. |
| Practice Address |
1900 Santa Rosa Ave Santa Rosa CA 95407-7621 |
| Practice Telephone | 7075702418 |
| Practice Fax Number | 7075666430 |
| Mailing Telephone | 7075702418 |
| Mailing Fax Number | 7075666430 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10644T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426693 | Bradley Hall | Physical Therapist | 2500 S Power Rd Ste 123, Mesa, AZ 85209-6688 | 2015-05-07 |
| 1003220948 | Bradley Hall | Surgery | 42 Nd and Emile Street Univ of Nebraska Ctr, Department of General Surgery, Omaha, NE 68198-3280 | 2014-06-18 |
| 1871857532 | Bradley Hall | Dentist | 4095 Atwood Dr # A, Richmond, KY 40475-8325 | 2012-06-27 |
| 1942336466 | Bradley F Hall | Pharmacist | 4501 Valleydale Rd, Birmingham, AL 35242-4605 | 2007-02-26 |
| 1295761153 | Bradley Gerald Hall | Physician Assistant | 13723 N Litchfield Rd, Surprise, AZ 85379-4268 | 2006-06-23 |
| 1194296731 | Bradley Hall | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-12-07 |
| 1912257361 | Bradley Allen Hall I | Chiropractor | 7010 Preston Rd, Suite 100, Frisco, TX 75034-5869 | 2012-09-13 |
| 1437444387 | Bradley Edward Hall | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2011-06-17 |
| 1275838815 | Bradley A Hall | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2011-01-12 |
| 1952540007 | Bradley Hall | Dentist | 1442 S Main St, Weatherford, TX 76086-5531 | 2009-02-12 |
| Street Address |
1900 SANTA ROSA AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114037728 | Costco Wholesale Corporation | Pharmacy | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2006-08-30 |
| 1407249030 | Costco Wholesale Corporation | Hearing Aid Equipment | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2015-03-06 |
| 1619367307 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2015-02-02 |
| 1063791671 | Tramy Uyesugi | Pharmacist | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2011-08-12 |
| 1891073490 | Clyde M Mcalpin | Pharmacist | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2011-07-30 |
| 1134407729 | Michael G Missakian | Pharmacist | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2011-07-29 |
| 1356648265 | Juliann Trout | Pharmacist | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2011-02-12 |
| 1750445318 | Bradley I. Hall, O.d., P.C. | Optometrist | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| 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 |
|---|---|---|---|---|
| 1568943264 | Danny Chen Le | Optometrist | 290 Coddingtown Ctr, Santa Rosa, CA 95401-3506 | 2018-08-22 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1912241761 | Erica Shu-yeu Wu | Optometrist | 2655 Cleveland Ave Ste A, Santa Rosa, CA 95403 | 2012-11-18 |
| 1437467859 | Margot Shipley | Optometrist | 1430 Guerneville Rd Ste 3, Santa Rosa, CA 95403-4158 | 2010-09-20 |
| 1376771808 | R. David Jones, O.d. | Optometrist | 800 4th St, Santa Rosa, CA 95404-4505 | 2009-06-23 |
| 1194976936 | Nicole Janell Wood | Optometrist | 1430 Guerneville Rd., #3, Santa Rosa, CA 95403-4158 | 2008-10-09 |
| 1962677369 | Ladan Nazari | Optometrist | 1054 Santa Rosa Plz, Santa Rosa, CA 95401-6345 | 2008-04-25 |
| 1710193651 | Tom Tseng | Optometrist | 3540 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3639 | 2007-05-15 |
| 1174673727 | Harris R.young,o.d. | Optometrist | 1311 W Steele Ln, Santa Rosa, CA 95403-2956 | 2007-01-12 |
| 1619032695 | James Michael Harmon | Optometrist | 534 Larkfield Ctr, Santa Rosa, CA 95403-7503 | 2006-12-27 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on DR. BRADLEY INGALLS HALL.
| 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.