Individual provider Active NPI

Helene Marie Bradley, O.D.

  • Optometrist
  • West Warwick, RI
National Provider Identifier
1700986478
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD411T Issued in RI
Practice address
215 Legris Ave
West Warwick, RI 02893-2937
Phone
(401) 828-4838
Fax
(401) 827-8603
NPI assigned
Sep 23, 2006
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD411T RI Primary

Addresses

Primary practice location

215 Legris Ave
West Warwick, RI 02893-2937

Mailing address

215 Legris Ave
West Warwick, RI 02893-2937
Phone (401) 828-4838

Other identifiers 1

IdentifierTypeStateIssuer
9002710MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20051109001225 RI Practitioner - Optometry 4688692437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 Legris Ave
West Warwick, RI 02893-2937
Phone (401) 828-4838

43 Jefferson Blvd
Warwick, RI 02888-1027
Phone (401) 941-3322

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD411TRIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Victorian Eye Care Inc. Optometrist CurrentSince Jun 1, 2000 Accepting new patients
Primary & Psychiatric Integrated Care CurrentSince Jul 25, 2021 Accepting new patients
In-Sight Optometrist CurrentSince Oct 1, 1991 Accepting new patients

Locations

43 Jefferson Blvd
Warwick, RI 02888
Phone (401) 316-5482

215 Legris Ave
West Warwick, RI 02893
Phone (401) 234-6685

Organizations & group practices 3

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1700986478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LEGRIS AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932937",
            "telephone_number": "401-828-4838",
            "fax_number": "401-827-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LEGRIS AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932937",
            "telephone_number": "401-828-4838",
            "fax_number": "401-827-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "HELENE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "OD411T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002710",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

Verify at the official NPI Registry.