Provider Demographics
NPI:1053376673
Name:PARSONS, BRADLEY C (OD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:C
Last Name:PARSONS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-3912
Mailing Address - Country:US
Mailing Address - Phone:319-560-4463
Mailing Address - Fax:319-358-5707
Practice Address - Street 1:16 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-3912
Practice Address - Country:US
Practice Address - Phone:319-560-4463
Practice Address - Fax:319-358-5707
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1989152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist