P Praxis·MD
● Active Type 1 · Individual

DR. Bonnie G Bradley, OD

Optometrist·East Ellijay, GA· NPI 1366446338 · Enumerated 2005 · 20 years on NPI
Bradley is 1 of 3 optometrist providers in East Ellijay and 1 of 2375 in Georgia.
NPI age
20 years
Enumerated 2005-06-08
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-12-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
772 Maddox Dr, Suite 132
East Ellijay, GA 305408194
📞 7062764455fax 7062764458
Mailing address
8614 Westwood Center Dr Fl 9
Vienna, VA 221822442
📞 7038478899

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    GA license #OPT001314 taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (GA) 00514599A

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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