BRADLEY P MUNDY (NPI# 1942448675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942448675 |
| Entity Type | Individual |
| Full Name | BRADLEY P MUNDY |
| Credential | O.D. |
| Practice Address |
400 E Front St Ste A Buchanan MI 49107-1403 |
| Practice Telephone | 2696953434 |
| Practice Fax Number | 2696952656 |
| Mailing Telephone | 2696953434 |
| Mailing Fax Number | 2696952656 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004630 | MI | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 18003559 | IN | Eye and Vision Services Providers |
| Street Address |
400 E FRONT ST STE A |
| City | BUCHANAN |
| State | MI |
| Zip Code | 49107-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851443956 | Drs Steven and Brenda Smoke Od PC | Optometrist | 400 E Front St, Suite A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1275984908 | Adam Urbanski | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2016-06-23 |
| 1245382266 | Steven Alan Smoke | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447453188 | Ronald C Carr | Dentist | 802 East Front St, Ste 5, Buchanan, MI 49107 | 2007-06-08 |
| 1669696464 | Barbara A Starke | Registered Nurse | 804 E Front Street, Buchanan, MI 49107 | 2007-04-12 |
| 1558338368 | Respiratory Home Care & Convalescent Supply Inc | Durable Medical Equipment & Medical Supplies | 320 N Redbud Trail, Buchanan, MI 49107 | 2006-03-01 |
| 1255827382 | Kari Mitchell-coplen | Physical Therapy Assistant | 500 E 3rd St, Buchanan, MI 49107 | 2018-07-01 |
| 1790294064 | Red Bud Health Services LLC | Physical Therapist | 500 E 3rd St, Buchanan, MI 49107 | 2017-09-29 |
| 1457743486 | Audrey Lynn Carrier | Family Medicine | 1045 E Front St, Buchanan, MI 49107 | 2015-02-27 |
| 1740801653 | Sharon M Bradley | Nursing Care | 324 N Detroit St, Buchanan, MI 49107-1204 | 2020-05-01 |
| 1235526260 | Into His Rest Ministries | Social Worker | 102 Elizabeth St, Buchanan, MI 49107-1327 | 2015-04-16 |
| 1306998919 | Brenda Dani Smoke | Optometrist | 400 E Front St Ste A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1285232678 | Cheyenne Reyes | Physical Therapy Assistant | 500 E 3rd St, Buchanan, MI 49107-1404 | 2020-10-16 |
| Find all providers in zip 49107 | ||||
| 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 |
|---|---|---|---|---|
| 1215136296 | Christopher Evan Cook | Optometrist | 402 Courthouse Square, Buchanan, GA 30113 | 2007-07-11 |
| 1851443956 | Drs Steven and Brenda Smoke Od PC | Optometrist | 400 E Front St, Suite A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1306998919 | Brenda Dani Smoke | Optometrist | 400 E Front St Ste A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1003848433 | Eugene George Benedict | Optometrist | 802 E Front St, Suite 2, Buchanan, MI 49107-1499 | 2006-07-07 |
| 1114961281 | Ernest Michael Polao | Optometrist | 3146 Albany Post Rd, Buchanan, NY 10511-1651 | 2006-06-16 |
| 1003368713 | Southwest Vision Center Inc. | Optometrist | 1045 E Front St, Suite B4, Buchanan, MI 49107-8474 | 2016-10-28 |
| 1275984908 | Adam Urbanski | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2016-06-23 |
| 1720215775 | Villa Rica Eye Care | Optometrist | 402 Courthouse Square, Buchanan, GA 30113 | 2009-06-17 |
| 1902005507 | Southern Optometrics, Inc | Optometrist | 402 Courthouse Square, Buchanan, GA 30113-0000 | 2007-07-13 |
| 1245382266 | Steven Alan Smoke | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2007-01-18 |
| Find all providers in BUCHANAN | ||||
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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.