Bradly Greg Mathew, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

6940TG Issued in TX

Practice address

3550 N Lakeline Blvd Ste 180
Leander, TX 78641-3506

Phone

(281) 554-7080

NPI assigned

Apr 6, 2007

Last updated

Feb 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Illinois College of Optometry at Chicago, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crystal Falls Vision Center, PLLC

  dba Crystal Falls Vision Center

  • Optometrist
  • Leander, TX
  • NPI 1962807586
  Medicare reassignment NPD Authorized official
• Elite Vision Care, PLLC

  • Optometrist
  • League City, TX
  • NPI 1750566733
  NPD (past)
• Northline Tso PC

  dba Northline Texas State Optical

  • Optometrist
  • Houston, TX
  • NPI 1134198518
  NPD (past)
• Northshore Tso, Inc.

  • Optometrist
  • Houston, TX
  • NPI 1639148034
  NPD (past)
• Pasadena Optical Inc

  dba Southmore Texas State Optical

  • Optometrist
  • Pasadena, TX
  • NPI 1164491544
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1770606899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 GULF FWY S",
            "address_2": "STE C-2",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733969",
            "telephone_number": "281-554-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N LAKELINE BLVD STE 180",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413506",
            "telephone_number": "281-554-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "BRADLY",
        "middle_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6940TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11748879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora Martinez
• Michelle Martinez
• Robin Elizabeth Martinez
• Robyn Marie Martinez, RN
• Jaclyn Mast
• Cameron A Matocha, PT, DPT
• Allen Lee Mauldin, MD
• Kokshan May
• Cynthia McClure, MA, CCC-SLP
• Roy Kirk McCormick, D.D.S.

• Optometrist in Leander, TX
• Providers in Leander, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.