Active NPI
Bradley H Riley
- Optician
- Cambridge, OH
National Provider Identifier
1508563495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 61205 Southgate Rd
Cambridge, OH 43725-8002 - Phone
- (740) 439-5444
- NPI assigned
- Feb 10, 2023
- Last updated
- Feb 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | OH | Primary |
Addresses
Primary practice location
61205 Southgate Rd
Cambridge, OH 43725-8002
Mailing address
PO Box 8054
Zanesville, OH 43702-8054
Phone (740) 624-1036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1508563495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8054",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437028054",
"telephone_number": "740-624-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61205 SOUTHGATE RD",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437258002",
"telephone_number": "740-439-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "BRADLEY",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.