Active NPI
Bradley Maier
- Optometrist
- Port Townsend, WA
National Provider Identifier
1073500476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- DD00001098
- Practice address
- 2029 E Sims Way
Port Townsend, WA 98368-6905 - Phone
- (360) 385-5386
- Fax
- (360) 385-3863
- NPI assigned
- Sep 30, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | DD00001098 | WA | Primary |
Addresses
Primary practice location
2029 E Sims Way
Port Townsend, WA 98368-6905
Mailing address
20669 Bond Rd NE
Suite 100
Poulsbo, WA 98370-6525
Phone (360) 779-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022382 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD00001098 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eyecare of Poulsbo PS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073500476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20669 BOND RD NE",
"address_2": "SUITE 100",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706525",
"telephone_number": "360-779-2020",
"fax_number": "360-779-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 E SIMS WAY",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686905",
"telephone_number": "360-385-5386",
"fax_number": "360-385-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIER",
"first_name": "BRADLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "DD00001098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2022382",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.