Bradley C Callister (NPI# 1033639349, PAC ID# 2860767068) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1033639349 |
| PAC ID by PECOS | 2860767068 |
| Professional Enrollment ID | I20171012003567 |
| Full Name | Bradley C Callister |
| Organization Legal Name | GRIFFIN TED P D D INC |
| Address |
140 Avenida Del Mar San Clemente CA 92672-4016 |
| Phone Number | 9494921853 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0143266999 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 30030 Town Ctr Dr A, Laguna Niguel, CA 92677-2046 | 9494953031 | GRIFFIN TED P D D INC |
| 22681 Lake Forest Dr, Suite A2, Lake Forest, CA 92630-1799 | 9498372121 | HORVATH AND CHRISTENSEN OD PROF |
| 140 Avenida Del Mar, San Clemente, CA 92672-4016 | 9494921853 | GRIFFIN TED P D D INC |
| Organization Legal Name | GRIFFIN TED P D D INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen R Griffin | Optometry | Griffin Ted P D D Inc | 140 Avenida Del Mar, San Clemente, CA 92672-4016 |
| Beverly B Miller | Optometry | Griffin Ted P D D Inc | 140 Avenida Del Mar, San Clemente, CA 92672-4016 |
| Ted P Griffin | Optometry | Griffin Ted P D D Inc | 140 Avenida Del Mar, San Clemente, CA 92672-4016 |
| Street Address |
140 AVENIDA DEL MAR |
| City | SAN CLEMENTE |
| State | CA |
| Zip | 92672-4016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen R Griffin | Optometry | Griffin Ted P D D Inc | 140 Avenida Del Mar, San Clemente, CA 92672-4016 |
| Beverly B Miller | Optometry | Griffin Ted P D D Inc | 140 Avenida Del Mar, San Clemente, CA 92672-4016 |
| Ted P Griffin | Optometry | Griffin Ted P D D Inc | 140 Avenida Del Mar, San Clemente, CA 92672-4016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy V Calabrese | Allergy/immunology | 2449 S El Camino Real, San Clemente, CA 92672-3351 | |
| Timothy G Swift | Chiropractic | 3551 Camino Mira Costa, Suite A, San Clemente, CA 92672-3504 | |
| David Zachary | Family Medicine | 3553 Camino Mira Costa, A, San Clemente, CA 92672-3512 | |
| John Disaia | Plastic and Reconstructive Surgery | 3553 Camino Mira Costa, A, San Clemente, CA 92672-3512 | |
| Scott Parrish | Physical Therapy | 3551 Camino Mira Costa, Suite N, San Clemente, CA 92672-3529 | |
| Cynthia Costa | Chiropractic | 181 Avenida Vaquero, Suite D, San Clemente, CA 92672-3631 | |
| Kevyn K Dean | Physical Therapy | Dean Sports Consultants Physical Therapy | 201 Calle De Los Molinos, San Clemente, CA 92672-3874 |
| Robin Warden | Physical Therapy | Dean Sports Consultants Physical Therapy | 201 Calle De Los Molinos, San Clemente, CA 92672-3874 |
| Andrea A Roberson | Family Medicine | 105 Avenida De La Estrella, San Clemente, CA 92672-3985 | |
| Richard C Roth | Chiropractic | 214 -a Avenida Del Mar, San Clemente, CA 92672-4005 | |
| Find all physicians in zip 92672 | |||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
| Specialty | OPTOMETRY |
| City + Specialty | SAN CLEMENTE + OPTOMETRY |
Please comment or provide details below to improve the information on Bradley C Callister.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.