| NPI | 1376282053 |
|---|---|
| Doing Business As | BRADFORD OPTICAL |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS AUSTEN PITTMAN Owner 802-922-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-10 |