Bridget I Fath, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006182 Issued in OH

Practice address

238 Brookley Ave
Bolling Afb, DC 20032

Phone

(202) 404-1484

NPI assigned

Sep 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bridgetfath@direct.eyecare-partners.com

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.

• Clarkson Optometry Midwest Inc

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  Medicare reassignment NPD

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1245224476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207170",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-404-1484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4021 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454292413",
            "country_code": "US",
            "telephone_number": "937-293-2149",
            "fax_number": "937-395-9633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 E US 22 and 3",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "OH",
            "postal_code": "451529688",
            "country_code": "US",
            "telephone_number": "513-899-2015",
            "fax_number": "513-899-4628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Wessel Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450143650",
            "country_code": "US",
            "telephone_number": "513-829-4600",
            "fax_number": "513-829-7591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7437 Wooster Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452273895",
            "country_code": "US",
            "telephone_number": "513-561-7704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8118 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362935",
            "country_code": "US",
            "telephone_number": "513-891-9030",
            "fax_number": "513-891-8049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10566 Loveland Madeira Rd",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451408962",
            "country_code": "US",
            "telephone_number": "513-683-3791",
            "fax_number": "513-683-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7849 Tylersville Rd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692510",
            "country_code": "US",
            "telephone_number": "513-298-5170",
            "fax_number": "513-755-0658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5283 Cornerstone North Blvd",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454402270",
            "country_code": "US",
            "telephone_number": "937-848-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATH",
        "first_name": "BRIDGET",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006182",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Alisa Curry, DMD
• Kevin M Davis Jr.
• Kurtis Lee Dean, PA-C
• Susan G Eckberg, MSW
• Linda Sue Estes, PH.D.
• George J Gerdts, DDS
• Ridge Morgan Gilley, D.D.S., M.S.
• Todd Gray, PA
• Michael D Guiterrez
• Grant R Hartup, DDS

• Optometrist in Bolling Afb, DC
• Providers in Bolling Afb, DC by specialty
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.