BRADLEY UPSHAW OD INC
NPI 1821206020
Optometrist in Rodeo, CA

Active since May 19, 2007
671 PARKER AVE, RODEO, CA 94572(510) 799-4258(510) 799-6616 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Upshaw Od Inc NPPES

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

BRADLEY UPSHAW OD INC (NPI 1821206020) is a healthcare organization registered as an optometrist in Rodeo, California and active in the NPI registry since May 2007. The organization lists Bradley George Upshaw, Owner Optometrist, as its authorized official.

NPPES Registry Identity

NPI1821206020
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBRADLEY UPSHAW OD INC
Location Address671 PARKER AVERodeo, CA 94572-1434
Mailing Address671 Parker AveRodeo, CA 94572-1434 · (510) 799-4258 · Fax (510) 799-6616
Fax(510) 799-6616
Organization SubpartNo
Authorized OfficialBradley George UpshawOwner Optometrist · (510) 799-4258
Enumeration DateMay 19, 2007
Last NPPES UpdateMarch 29, 2012
NPI 1821206020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 11228
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.
671 PARKER AVE, Rodeo, CA 94572

Other Identifiers 3

Medicare PINSD0112280CA
Medicare UPINU76225CA
Other11228TCA · Optometric License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Optometrist
671 PARKER AVE
RODEO, CA 94572
Optometrist
671 PARKER AVE
RODEO, CA 94572

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 Bradley Upshaw Od Inc's NPI number?

The NPI number for Bradley Upshaw Od Inc is 1821206020. It was assigned to this organization in the NPPES registry on May 19, 2007.

Where is Bradley Upshaw Od Inc located?

Bradley Upshaw Od Inc is located at 671 Parker Ave, Rodeo, CA 94572. The listed phone number is (510) 799-4258.

What is Bradley Upshaw Od Inc'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 Bradley Upshaw Od Inc was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.