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

Paul Bradley Waldrop, LDO

Individual provider Optician · NPI 1174214423

Paul Bradley Waldrop, LDO is an Optician in Summerfield, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

17961 S US Highway 441
Summerfield, FL 34491-8685
Phone: (352) 307-4435
Fax: (352) 307-4437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 5790 (FL)

Record details

NPI number1174214423
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

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