Bradshaw Optometry
NPI 1073726022ActiveOrganization· Preferred Provider Organization· Elk Grove, CA
Preferred Provider Organization in Elk Grove, California, registered in NPPES in May 2007. The authorized official on file is Paul K. Kim, O.D., Owner Optometrist.
Overview
| NPI | 1073726022 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 10618T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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