Provider Demographics
NPI:1124526835
Name:A PROPER VIEW OD PLLC
Entity type:Organization
Organization Name:A PROPER VIEW OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-634-4244
Mailing Address - Street 1:120 REYNOLDA VLG STE B
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5144
Mailing Address - Country:US
Mailing Address - Phone:336-701-6460
Mailing Address - Fax:336-701-6465
Practice Address - Street 1:120 REYNOLDA VLG STE B
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5144
Practice Address - Country:US
Practice Address - Phone:336-701-6460
Practice Address - Fax:336-701-6465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-28
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty