=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255245676
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES BRADLEY MAYER JR. OD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/01/2026
-----------------------------------------------------
Last Update Date | 10/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2989 EAST ARROW ST BUILDING 1175
-----------------------------------------------------
City | YUMA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85365
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-269-2733
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 833 S AVENUE A UNIT 32
-----------------------------------------------------
City | YUMA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85364-3770
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-208-3239
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | OPT-002967
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------