Provider Demographics
NPI:1427410406
Name:BREAM OPTOMETRY, INC.
Entity Type:Organization
Organization Name:BREAM OPTOMETRY, INC.
Other - Org Name:BREAM OPTOMETRY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:BREAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:805-451-4531
Mailing Address - Street 1:7095 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-5905
Mailing Address - Country:US
Mailing Address - Phone:805-562-1300
Mailing Address - Fax:805-562-1301
Practice Address - Street 1:7095 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-5905
Practice Address - Country:US
Practice Address - Phone:805-562-1300
Practice Address - Fax:805-562-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10171 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty