Active NPI
Timothy Lewis Bradshaw, O.D.
- Optometrist
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 36196
- Practice address
- 1360 Eastlake Pkwy
Chula Vista, CA 91915-4116 - Phone
- (619) 500-5038
- NPI assigned
- Jul 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002957 | GA | |
| Optometrist | 152W00000X | 36196 | CA | Primary |
| Optometrist | 152W00000X | 0618003245 | VA | |
| Optometrist | 152W00000X | 2203 | AZ |
Addresses
Primary practice location
1360 Eastlake Pkwy
Chula Vista, CA 91915-4116
Mailing address
1360 Eastlake Pkwy
Chula Vista, CA 91915-4116
Phone (619) 500-5038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
927 Maple Grove Dr
Suite 209
Fredericksburg, VA 22407-6936
Phone (540) 208-5827
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.89 of 100
- Quality
- 90.46
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002957 | GA | MD | Optometrist |
| 0618003245 | VA | MD | Optometrist |
| 2203 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M Harman MD LLC | Optometrist | Current | Accepting new patients |
| Southwestern Eye Center LTD | Current | Accepting new patients | |
| Southwestern Eye Center LTD | Optometrist | Current | Accepting new patients |
| Southwestern Eye Center, LTD | Optometrist | Current | Accepting new patients |
| Hanover Family Eyecare | Optometrist | Past | Accepting new patients |
| Dominion Eye Associates PC | Past | Accepting new patients | |
| Becker Eye Care Center, LLC | Optometrist | Past | Accepting new patients |
| William G. Ryan, O.D., LTD. | Optometrist | Past | Accepting new patients |
| Chesterfield Ophthalmology PC | Past | Accepting new patients |
Locations (25 of 31)
41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295
3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555
399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504
270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202
5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922
2610 E University Dr
Mesa, AZ 85213
4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400
4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488
3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234
3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510
4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500
4921 E Bell Rd
Scottsdale, AZ 85254
10615 W Thunderbird Blvd
Ste A100
Sun City, AZ 85351
Phone (623) 977-9600
13624 W Camino del Sol
Ste 200
Sun City West, AZ 85375
Phone (623) 546-6599
5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888
2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100
4917 Richmond Tappahannock Hwy
Ste 1A
Aylett, VA 23009
Phone (804) 746-5245
109 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 455-5130
2801 Boulevard
Ste C
Colonial Hgts, VA 23834
Phone (804) 285-0680
18460 Crossroad Pkwy
Culpeper, VA 22701
Phone (540) 208-5827
1825 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-5650
927 Maple Grove Dr
Ste 209
Fredericksburg, VA 22407
Phone (540) 208-5827
1613 Hardy Cash Dr
Hampton, VA 23666
Phone (757) 229-4000
2200 Executive Dr
Ste A
Hampton, VA 23666
Phone (757) 827-0009
7347 Bell Creek Rd
Ste 200
Mechanicsvlle, VA 23111
Phone (804) 746-5245
Organizations & group practices 9
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.
-
dba Brian Looney, OD
- Ophthalmology Physician
- Forest, VA
- NPI 1306950431
Optometrist
-
- Ophthalmology Physician
- Scottsdale, AZ
- NPI 1023063187
-
- Durable Medical Equipment & Medical Supplies
- Tempe, AZ
- NPI 1558102608
Optometrist
-
- Optometrist
- Hampton, VA
- NPI 1720261886
-
- Ophthalmology Physician
- Midlothian, VA
- NPI 1033142708
-
- Specialist
- Richmond, VA
- NPI 1760554810
-
- Optometrist
- Mechanicsville, VA
- NPI 1487911855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1457704256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 EASTLAKE PKWY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919154116",
"telephone_number": "619-500-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 EASTLAKE PKWY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919154116",
"telephone_number": "619-500-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "TIMOTHY",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-15",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002957",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "36196",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003245",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2203",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.