Individual provider Active NPI

Bradley S. Kirchner, O.D.

  • Optometrist
  • Chesterfield, VA
National Provider Identifier
1710026653
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000756 Issued in VA
Practice address
14422 Hull Street Rd
Chesterfield, VA 23832
Phone
(804) 419-3170
Fax
(804) 806-7256
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4284 FL
Optometrist 152W00000X 0618000756 VA Primary

Addresses

Primary practice location

14422 Hull Street Rd
Chesterfield, VA 23832

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

28 Blanding Blvd
Orange Park, FL 32073-2202
Phone (904) 264-5483

Other identifiers 1

IdentifierTypeStateIssuer
9233130MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, 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
I20100122000774 FL Practitioner - Optometry 4183710775 Reassigns benefits to 3 organizations
I20241111003024 VA Practitioner - Optometry 4183710775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians

Practice addresses (Care Compare)

44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Dr.Ted Brink & Associates Optometrist CurrentSince Aug 6, 2009 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 4, 2020 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 4, 2020 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Dr. Ted Brink and Associates PA Optometrist CurrentSince Aug 6, 2009 Accepting new patients
Fleming Island Vision Center, Inc. Optometrist CurrentSince May 26, 2010 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Fleming Island Vision Center Optometrist Past Accepting new patients

Locations

10300 Southside Blvd
Ste 238
Jacksonville, FL 32256
Phone (904) 363-8282

11406 San Jose Blvd
Ste 1
Jacksonville, FL 32223
Phone (904) 260-3839

1524 County Road 220
Ste 5
Orange Park, FL 32003
Phone (904) 637-2000

28 Blanding Blvd
Orange Park, FL 32073
Phone (904) 264-5483

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

14422 Hull Street Rd
Chesterfield, VA 23832
Phone (804) 419-3170

3524 W Cary St
Richmond, VA 23221
Phone (804) 750-7113

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 10

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1710026653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14422 HULL STREET RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "23832",
            "telephone_number": "804-419-3170",
            "fax_number": "804-806-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320732202",
            "country_code": "US",
            "telephone_number": "904-264-5483",
            "fax_number": "904-213-0515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "BRADLEY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-08-09",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4284",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9233130",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.