Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Ann Bradley

Individual provider Optician · NPI 1790252583

Michelle Ann Bradley is an Optician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
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Practice location Address checks out

751 Oak St Ste 200
Jacksonville, FL 32204-3361
Phone: (904) 634-1040
Fax: (904) 634-0109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 5586 (FL)

Record details

NPI number1790252583
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 30, 2018
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021
Mailing address3120 E Banister Rd, St Augustine, FL 32092-3028

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