Healthcare Provider Details

I. General information

NPI: 1255245676
Provider Name (Legal Business Name): JAMES BRADLEY MAYER JR. OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2989 EAST ARROW ST BUILDING 1175
YUMA AZ
85365
US

IV. Provider business mailing address

833 S AVENUE A UNIT 32
YUMA AZ
85364-3770
US

V. Phone/Fax

Practice location:
  • Phone: 928-269-2733
  • Fax:
Mailing address:
  • Phone: 805-208-3239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT-002967
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: