Individual provider Active NPI

Bradley Miles Kardatzke, OD

  • Optometrist
  • Irving, TX
National Provider Identifier
1104816545
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4929TG Issued in TX
Practice address
708 N Macarthur Blvd
Irving, TX 75061-7355
Phone
(972) 254-0033
Fax
(972) 254-0055
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4929TG TX Primary

Addresses

Primary practice location

708 N Macarthur Blvd
Irving, TX 75061-7355

Mailing address

PO Box 153328
Irving, TX 75015-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216001004 TX Practitioner - Optometry 9931166303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

708 N Macarthur Blvd
Irving Eyecare
Irving, TX 75061-7355
Phone (972) 254-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4929TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Le Opti Tech Inc CurrentSince Feb 22, 2001 Accepting new patients

Locations

708 N MacArthur Blvd
Irving, TX 75061
Phone (972) 254-0033

Interoperability endpoints

  • Direct secure messaging: bradleykardatzkeod@irvingeyecare.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104816545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153328",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750153328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617355",
            "telephone_number": "972-254-0033",
            "fax_number": "972-254-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDATZKE",
        "first_name": "BRADLEY",
        "middle_name": "MILES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4929TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.