MEDICARE: BRADLEY ALAN PELTZER 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	OPC2646	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396776340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY ALAN PELTZER OD

Provider Business Mailing Address
First Line	:	5952 W 16TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-6814
Country	:	US
Telephone Number	:	305-556-6946
Fax Number	:	305-825-0845

Provider Business Practice Location Address
First Line	:	5952 W 16TH AVE
Second Line	:	ADVANCED EYE CARE OF HIALEAH, PA
City	:	HIALEAH
State	:	FL
Zip	:	33012-6814
Country	:	US
Telephone Number	:	305-556-6946
Fax Number	:	305-825-0845

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	09/09/2011

Similar Medicare Providers

1124039672 — PATRICIA MARIA BOBADILLA DDS
Practice Location Address:

5924 W 16TH AVE
HIALEAH, FL
33012-6814

Practice Phone: 305-558-2133
Practice Fax: 786-899-0801

1023111036 — ADVANCED EYE CARE OF HIALEAH, PA
Practice Location Address:

5952 W 16TH AVE
HIALEAH, FL
33012-6814

Practice Phone: 305-556-6946
Practice Fax: 305-825-0845

1811034119 — MALECON PHARMACY INC
Practice Location Address:

5966 W 16TH AVE
HIALEAH, FL
33012-6814

Practice Phone: 305-558-8551
Practice Fax: 305-558-8512

1447483359 — CHRISTOPHER JUSTIN HOLCOMB OD
Practice Location Address:

5952 W 16TH AVE
HIALEAH, FL
33012-6814

Practice Phone: 786-534-8933
Practice Fax: 786-534-8633

1023330370 — C. JUSTIN HOLCOMB, OD, LLC
Practice Location Address:

5952 W 16TH AVE
HIALEAH, FL
33012-6814

Practice Phone: 305-220-7555
Practice Fax: 786-534-8633

1649772625 — A-Z DENTAL INC.
Practice Location Address:

5924 W 16TH AVE
HIALEAH, FL
33012-6814

Practice Phone: 305-558-2133
Practice Fax: 786-899-0801

Directions to “ BRADLEY ALAN PELTZER OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.