MEDICARE: DR. JAMES BRADLEY OATNEY OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3956	OH

General Provider Information

NPI Number	:	1609839943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES BRADLEY OATNEY OD

Provider Business Mailing Address
First Line	:	5766 ASPENDALE DRIVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-7505
Country	:	US
Telephone Number	:	614-457-2765
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 OLENTANGY RIVER RD STE B
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3437
Country	:	US
Telephone Number	:	614-451-7244
Fax Number	:	614-545-0749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	11/09/2018

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