Individual provider Active NPI

Timothy Lewis Bradshaw, O.D.

  • Optometrist
  • Chula Vista, CA
National Provider Identifier
1457704256
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36196 Issued in CA
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

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170809004317 AZ Practitioner - Optometry 5698046605 Reassigns benefits to 1 organization
I20230619001878 VA Practitioner - Optometry 5698046605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Harman MD LLCGroup PAC ID 6305828062, 51 clinicians

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 100Reported as group
Quality
90.46
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002957GAMDOptometrist
0618003245VAMDOptometrist
2203AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David M Harman MD LLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Southwestern Eye Center LTD Current Accepting new patients
Southwestern Eye Center LTD Optometrist CurrentSince Sep 4, 2017 Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Sep 4, 2017 Accepting new patients
Hanover Family Eyecare Optometrist PastSince Jun 30, 2012 Accepting new patients
Dominion Eye Associates PC PastSince Jan 26, 2007 Accepting new patients
Becker Eye Care Center, LLC Optometrist PastSince Aug 20, 2004 Accepting new patients
William G. Ryan, O.D., LTD. Optometrist Past Accepting new patients
Chesterfield Ophthalmology PC PastSince Oct 1, 2002 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.

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

Verify at the official NPI Registry.