Individual provider Active NPI

Jennifer Lynn Bradley, O.D.

  • Optometrist
  • Titusville, FL
National Provider Identifier
1487093803
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4844 Issued in FL
Practice address
338 S Washington Ave.
Titusville, FL 32796-3548
Phone
(321) 269-2021
Fax
(321) 269-2011
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4844 FL Primary

Addresses

Primary practice location

338 S Washington Ave.
Titusville, FL 32796-3548

Mailing address

338 S Washington Ave.
Titusville, FL 32796-3548
Phone (321) 269-2021

Other names 1

  • Jennifer Lynn Cusson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20140827002557 FL Practitioner - Optometry 9032359401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aker Eye Center PAGroup PAC ID 0749242360, 4 clinicians

Practice addresses (Care Compare)

338 S Washington Ave
Titusville, FL 32796-3548
Phone (321) 269-2021

Merit-based Incentive Payment System (MIPS)

Final score
99.22 of 100Reported as group
Quality
98.44
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aker Eye Center PA Optometrist CurrentSince Mar 15, 2018 Accepting new patients

Locations

1114 S Washington Ave
Titusville, FL 32780
Phone (321) 269-2021

338 S Washington Ave
Titusville, FL 32796
Phone (321) 269-2021

Organizations & group practices 1

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1487093803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S WASHINGTON AVE.",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963548",
            "telephone_number": "321-269-2021",
            "fax_number": "321-269-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S WASHINGTON AVE.",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963548",
            "telephone_number": "321-269-2021",
            "fax_number": "321-269-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CUSSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.