Individual provider Active NPI

Bradley G Meier, OD

  • Optometrist
  • Watertown, SD
National Provider Identifier
1831278621
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
139 Issued in SD
Practice address
26 5TH St NE
Watertown, SD 57201-3711
Phone
(605) 882-2220
Fax
(605) 882-5675
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 139 SD Primary

Addresses

Primary practice location

26 5TH St NE
Watertown, SD 57201-3711

Mailing address

26 5TH St NE
P. O. Box 1540
Watertown, SD 57201-3711
Phone (605) 882-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20081015000744 SD Practitioner - Optometry 9234297516 Practice locations: Watertown, SD

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 5TH St NE
Watertown, SD 57201-3711
Phone (605) 882-2220

26 5TH St NE
PO Box 1540
Watertown, SD 57201-6540

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
139SDMDBehavioral Analyst
408SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley G Meier O.D., Meier Visual Clinic Optometrist PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1831278621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 5TH ST NE",
            "address_2": "P. O. BOX 1540",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013711",
            "telephone_number": "605-882-2220",
            "fax_number": "605-882-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 5TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013711",
            "telephone_number": "605-882-2220",
            "fax_number": "605-882-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.