Bradley Jay Louis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1764 Issued in CO

Practice address

750 Citadel Dr E
#2300
Colorado Springs, CO 80909-5327

Phone

(719) 598-1392

Fax

(719) 591-0220

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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 CO

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

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.

• Sowash Optometry Group PC

  • Optometrist
  • Lakewood, CO
  • NPI 1336172055
  Medicare reassignment NPD
• Sowash Optometry Group, PC

  • Eyewear Supplier
  • Denver, CO
  • NPI 1891404174

  Optometrist

  NPD
• Sowash Optometry Group PC

  • Eyewear Supplier
  • Grand Junction, CO
  • NPI 1326083130
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356327852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LEISURE LN",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638702",
            "telephone_number": "719-231-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CITADEL DR E",
            "address_2": "#2300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095327",
            "telephone_number": "719-598-1392",
            "fax_number": "719-591-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "BRADLEY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Loucks, BCBA
• Megan Louderman, PSYD
• Anastasia Louen, APRN, FNP-BC
• Louis Hoffman, PHD
• Louis V. Spicciati DDS PC
• Teresa T Louis, LCSW
• Amelia Lousignont
• Herman A Louters, MD
• Christopher Lovato
• Maria Lovato

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.