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BRADY L WILBORN O.D.
NPI 1124025879
Optometrist in California, MO

Active since July 07, 2005
202 E NORTH ST, CALIFORNIA, MO 65018(573) 796-2222(573) 796-4184 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brady L Wilborn O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADY L WILBORN O.D. (NPI 1124025879) is an individual optometrist in California, Missouri, licensed in Missouri (168620) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1124025879
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRADY L WILBORNCredential: O.D.
Location Address202 E NORTH STCalifornia, MO 65018-1583
Mailing Address202 E North StCalifornia, MO 65018-1583 · (573) 796-2222 · Fax (573) 796-4184
Phone(573) 796-2222
Fax(573) 796-4184
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 19, 2007
✔ NPI 1124025879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MO · 168620✔ Licensed in KS · 1608
Definition
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.
202 E NORTH ST, California, MO 65018
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Other Identifiers 3

Medicaid100406140BKS
Medicare ID-Type Unspecified650921KS
Medicare UPINU87122KS

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE BYRD
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Moniteau County (573) 796-2222
DONALD J VANDERFELTZ O. D.
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Moniteau County (573) 796-2222
RYAN CURTIS WILKERSON OD
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Moniteau County (573) 792-2222
DONALD J. VANDERFELTZ
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Moniteau County (573) 796-2222
COLE EDWARD VANDERFELTZ OD
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Moniteau County (573) 874-2030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brady Wilborn's NPI number?

The NPI number for Brady Wilborn is 1124025879. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Brady Wilborn located?

Brady Wilborn practices at 202 E North St, California, MO 65018. The listed phone number is (573) 796-2222.

What is Brady Wilborn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Brady Wilborn was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.