Dr. Bradley George Upshaw is a Rodeo, California based male Optometrist with 25 years of experience in Optometry. He completed his graduation from Southern California College Of Optometry in 1999. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Bradley George Upshaw is 11228T for Optometry in California. Dr. Bradley George Upshaw 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Bradley George Upshaw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
25+ years
Medical School Attended:
Southern California College Of Optometry
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
671 Parker Ave, Rodeo, California, 94572-1434
Phone:
510-799-4258
Fax:
510-799-6616
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163437930
Enrollment ID:
I20090112000498
NPI Number:
1992731335
NPI Enumeration Date:
25 Jun, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bradley George Upshaw are as mentioned below.
License Number
Specialization
State
Status
11228T
Optometry
California
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Bradley George Upshaw has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bradley Upshaw Od Inc (7618982489)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bradley George Upshaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
SD0112280
Medicaid
California
11228T
Other
California
STATE OPTOMETRIC LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
671 Parker Ave, Rodeo, California
Zip:
94572-1434
Phone Number:
510-799-4258
Fax Number:
510-799-6616
Patients can reach Dr. Bradley George Upshaw at 671 Parker Ave, Rodeo, California or can call to book an appointment on 510-799-4258. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.