Bradley Kovach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

34935 Issued in CA

Practice address

1540 Froom Ranch Way
San Luis Obispo, CA 93405-7211

Phone

(805) 544-0450

Fax

(805) 544-0275

NPI assigned

Aug 27, 2021

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 CA

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

Southern California College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bradley Kovach OD a Professional Optometric Corporation

  • Optometrist
  • San Luis Obispo, CA
  • NPI 1265383509
  Medicare reassignment NPD Authorized official
• Ali OD and Patel OD Professional Optometric Corporation

  • Optometrist
  • Santa Maria, CA
  • NPI 1801020755
  Medicare reassignment NPD

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1457028250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 FROOM RANCH WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057211",
            "telephone_number": "805-544-0450",
            "fax_number": "805-540-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 FROOM RANCH WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057211",
            "telephone_number": "805-544-0450",
            "fax_number": "805-544-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "BRADLEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Helen Konye
• Melody Kopisch, N.P.
• Sarah Kounanis, RN
• Koushan Azad Dental Corpopration
• Joseph Kovacevich
• Karen A Kovalow-St. John, M.D.
• Claudia Michelle Kraake
• Janice Lynn Kraemer, PT
• Karen J Krahl, D.C.
• Joshua Kramer, DPT

• Optometrist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; 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.