Bradley T Doolen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA005177 Issued in NJ

Practice address

573 Bloomfield Ave
Verona, NJ 07044-1818

Phone

(201) 207-6240

Fax

(201) 207-6240

NPI assigned

Oct 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as group

Quality

96.31

Promoting interoperability

100

Improvement activities

40

Cost

73.39

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.doolen.1@3162.direct.athenahealth.com

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.

• Eye Centers of America, LLC

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  Medicare reassignment Care Compare group NPD
• Affinity Eye Care Group, LLC

  • Optometrist
  • Union, NJ
  • NPI 1780733980
  NPD (past) Authorized official
• Friedman Spine & Physical Therapy, P.C.

  • Chiropractor
  • Union, NJ
  • NPI 1700052271
  NPD (past)
• Union Family Eyecare, PC

  • Corneal and Contact Management Optometrist
  • Red Bank, NJ
  • NPI 1598796062
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1720164189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441818",
            "telephone_number": "201-207-6240",
            "fax_number": "201-207-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441818",
            "telephone_number": "201-207-6240",
            "fax_number": "201-207-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEN",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA005177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Joanna Desantis, PAC
• Sara Devito, MA, CCC-SLP
• Roger Philip Diruggiero, MD
• Kenneth L Distefano Sr., MD
• Kenneth Louis Distefano, MD
• Ashlee Lynn Dorreman, MA, LAC
• Jaime Doshi, LPC
• Simone Alicia Douge, MD
• Kimberly Drinkwater, DO
• DRS. Latempa & Toumanios PC

• Optometrist in Verona, NJ
• Providers in Verona, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.