Individual provider Active NPI

Bradley Johnson Luttrell, MD

  • Ophthalmology Physician
  • Oak Ridge, TN
National Provider Identifier
1508850298
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000038353 Issued in TN
Practice address
90 Vermont Ave
Oak Ridge, TN 37830-6478
Phone
(865) 482-8890
Fax
(865) 482-7400
NPI assigned
Sep 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD0000038353 TN Primary

Addresses

Primary practice location

90 Vermont Ave
Oak Ridge, TN 37830-6478

Mailing address

90 Vermont Ave
Oak Ridge, TN 37830-6478
Phone (865) 482-8890

Other identifiers 1

IdentifierTypeStateIssuer
3891609MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001426 TN Practitioner - Ophthalmology 5890777973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Oak Ridge,PCGroup PAC ID 8527040690, 14 clinicians

Practice addresses (Care Compare)

1855 Tanner Way
Suite 120
Harriman, TN 37748-8331
Phone (865) 882-1535

90 Vermont Ave
Oak Ridge, TN 37830-6474

90 Vermont Ave
Oak Ridge, TN 37830-6478
Phone (865) 482-8890

Merit-based Incentive Payment System (MIPS)

Final score
75.96 of 100Reported as group
Quality
62.76
Improvement activities
40
Cost
69.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery420
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000038353TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Oak Ridge,PC Ophthalmology CurrentSince Jul 15, 2004 Accepting new patients

Locations

1855 Tanner Way
Ste 120
Harriman, TN 37748
Phone (865) 882-1535

90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8880

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508850298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306478",
            "telephone_number": "865-482-8890",
            "fax_number": "865-482-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306478",
            "telephone_number": "865-482-8890",
            "fax_number": "865-482-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "BRADLEY",
        "middle_name": "JOHNSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000038353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3891609",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.