Baggarly, Brad Anthony

Baggarly, Brad Anthony is an individual health care provider with primary practice located at 695 W Foothill Blvd , Claremont CA 91711-3490. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Baggarly, Brad Anthony can be contacted via phone (909) 625-7861.

Contact Information

Primary practice address
695 W Foothill Blvd Claremont CA 91711-3490
Phone: (909) 625-7861
Fax: (909) 621-0742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9471-T California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 9471-T California
Eye and Vision Services Providers / Pediatrics 152WP0200X 9471-T California

Profile Details

NPI number 1861541617
LBN Legal business name Baggarly, Brad Anthony
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861541617 NPPES
California Other WOP9471A MEDICARE PTAN

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