Bradley James Carpenter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1277 Issued in NE

Practice address

9737 Giles Rd
Lavista, NE 68128-2930

Phone

(402) 963-0831

NPI assigned

Jun 29, 2007

Last updated

Jul 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tiburon Family Eyecare PCGroup PAC ID 8022255181, 2 clinicians

Acuity Vision Care PCGroup PAC ID 1658710983, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tiburon Family Eyecare, PC

  • Optometrist
  • Gretna, NE
  • NPI 1285971994
  Medicare reassignment Care Compare group Authorized official
• Acuity Vision Care, P.C.

  • Optometrist
  • Bellevue, NE
  • NPI 1568151108
  Medicare reassignment Care Compare group NPD
• Bellevue Family Eyecare Center PC

  • Optometrist
  • Bellevue, NE
  • NPI 1316133556
  Medicare reassignment
• I Care Optical Inc

  • Optometrist
  • La Vista, NE
  • NPI 1043861057
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1144427451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 SHANNON RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283253",
            "telephone_number": "402-339-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 GILES RD",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681282930",
            "telephone_number": "402-963-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantae Caldwell
• McKenna Candle
• Cory Bruce Carlow
• Thomas Joseph Carnazzo, RPH
• Noel C Carosella, PAC
• Elizabeth Jane Cartwright
• Francesca Castillo
• Brett James Cawley, D.D.S.
• Cedarhurst of la Vista Operator, LLC
• Cgsolutions Agency LLC (Care Giving Solutions)

• Optometrist in La Vista, NE
• Providers in La Vista, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.