Provider Demographics
NPI:1255442000
Name:N. P. BHADRA, OD & ASSOCIATES, PC
Entity type:Organization
Organization Name:N. P. BHADRA, OD & ASSOCIATES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEPA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHADRA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:678-297-7575
Mailing Address - Street 1:3065 BRIERFIELD LK
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-1189
Mailing Address - Country:US
Mailing Address - Phone:678-297-7575
Mailing Address - Fax:
Practice Address - Street 1:5236 MCGINNIS FERRY RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3921
Practice Address - Country:US
Practice Address - Phone:678-297-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT001524152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty