NPIMap

Individual provider Active NPI

Bradley T Cross, O.D.

  • Optometrist
  • Soldotna, AK
National Provider Identifier
1326099862
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009830 Issued in NY
Practice address
44332 Sterling Hwy
Ste 52
Soldotna, AK 99669-8065
Phone
(907) 260-9199
Fax
(907) 260-9189
NPI assigned
May 12, 2006
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 326 AK
Optometrist 152W00000X 009830 NY Primary

Addresses

Primary practice location

44332 Sterling Hwy
Ste 52
Soldotna, AK 99669-8065

Mailing address

44332 Sterling Hwy Ste 52
Soldotna, AK 99669-8065
Phone (907) 260-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130129000313 AK Practitioner - Optometry 6800040841
I20240606002029 NY Practitioner - Optometry 6800040841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

Practice addresses (Care Compare)

130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971

170 Murray St
Auburn, NY 13021-1335
Phone (646) 921-1738

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as group
Quality
77.56
Promoting interoperability
100
Improvement activities
40
Cost
76.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
326AKMDOptometrist
1421GAMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
S & P Optometry Incorporated Optometrist CurrentSince Jan 29, 2023 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Eye Care Vision Optometry PC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Peninsula Community Health Services of Alaska, Inc. Past Accepting new patients
Map Eyes LLC Optometrist PastSince Jan 31, 2012 Accepting new patients

Locations

44332 Sterling Hwy
Ste 52
Soldotna, AK 99669
Phone (907) 260-9199

170 Murray St
Auburn, NY 13021
Phone (315) 253-2755

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

232 Denison Pkwy E
Corning, NY 14830
Phone (607) 937-5800

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

406 E 4th St
Watkins Glen, NY 14891
Phone (607) 535-4842

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: bcross202740@direct-guthrie.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central Peninsula General HospitalSoldotna, AK, CCN 020024 Hospital Corporate Director Jan 1, 2023
Central Peninsula General HospitalSoldotna, AK, CCN 02U024 Hospital Corporate Director Jan 1, 2023
Heritage PlaceSoldotna, AK, CCN 025021 Skilled nursing facility Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 20

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 20

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1326099862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44332 STERLING HWY STE 52",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698065",
            "telephone_number": "907-260-9199",
            "fax_number": "907-260-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44332 STERLING HWY",
            "address_2": "STE 52",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698065",
            "telephone_number": "907-260-9199",
            "fax_number": "907-260-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "326",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.