| Ellen Roberta Bradley, OD | |
|
11714 S Federal Hwy, Hobe Sound, FL 33455-5303 | |
| (772) 546-4116 | |
| (772) 546-5172 |
| Full Name | Ellen Roberta Bradley |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 11714 S Federal Hwy, Hobe Sound, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194835397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC1904 (Florida) | Primary |
| 152W00000X | Optometrist | 061001178 (Virginia) | Secondary |
| 152W00000X | Optometrist | ONO4493 (New Jersey) | Secondary |
| Provider Name | Hobe Sound Eye Care, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013752831 PECOS PAC ID: 8820521693 Enrollment ID: O20241031003121 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Roberta Bradley, OD 11714 Se Federal Hwy, Hobe Sound, FL 33455-5303 Ph: (772) 546-4116 | Ellen Roberta Bradley, OD 11714 S Federal Hwy, Hobe Sound, FL 33455-5303 Ph: (772) 546-4116 |
Hobe Sound Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 11714 Se Federal Hwy, Hobe Sound, FL 33455 Phone: 772-546-4116 | |
David A Garfield, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11714 S Federal Hwy, Hobe Sound, FL 33455 Phone: 772-546-4116 Fax: 772-546-5172 | |
Dr. Catherine Derewyanko, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11714 Se Federal Hwy, Hobe Sound, FL 33455 Phone: 772-546-4116 | |
David A Garfield Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11714 Se Federal Hwy, Hobe Sound, FL 33455 Phone: 772-546-4116 |