OrganizationActive
Bradshaw Optometry
NPI 1073726022 · Preferred Provider Organization · Elk Grove, CA
Provider details
- NPI number
- 1073726022
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Paul Kim, Owner Optometrist(916) 682-5558
- License
- 10618T (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
8829 Sheldon Rd Ste 150
Elk Grove, CA 95624-5045
Phone: (916) 682-5558
Fax: (916) 688-5569
Approximate (ZIP-level) locationGet directions
Mailing address
8829 Sheldon Rd Ste 150
Elk Grove, CA 95624-5045
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.