Bradley Robert Kubis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6554 Issued in OH

Practice address

34 Boardman Poland Rd
Boardman, OH 44512-4601

Phone

(330) 758-6671

NPI assigned

May 25, 2017

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roholt Vision Institute IncGroup PAC ID 0143204388, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.76 of 100Reported as group

Quality

100

Improvement activities

40

Cost

59.2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkubis@roholt.intellechartdirect.net

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.

• Roholt Vision Institute Inc

  • Ophthalmology Physician
  • Canfield, OH
  • NPI 1700819455
  Medicare reassignment Care Compare group NPD
• Dr. Ronald L. Detwiler, O.D. Inc.

  • Optometrist
  • East Liverpool, OH
  • NPI 1043406721
  Medicare reassignment NPD
• Optical Solutions 2 LLC

  • Optometrist
  • Austintown, OH
  • NPI 1275939423
  Medicare reassignment NPD
• Roholt Vision Instititute Inc

  • Ophthalmology Physician
  • Alliance, OH
  • NPI 1588609978
  NPD
• Roholt Vision Institute Inc

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1609818244
  NPD
• Dr Bloomberg Eye Clinic

  dba Bloomberg Eyecare

  • Optometrist
  • Boardman, OH
  • NPI 1326290594
  NPD (past)

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851829584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BOARDMAN CANFIELD RD APT 64B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445128056",
            "telephone_number": "412-974-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BOARDMAN POLAND RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124601",
            "telephone_number": "330-758-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Niles Cortland Rd SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444843042",
            "country_code": "US",
            "telephone_number": "330-372-6676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5537 Mahoning Ave",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445152316",
            "country_code": "US",
            "telephone_number": "330-792-0820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBIS",
        "first_name": "BRADLEY",
        "middle_name": "ROBERT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Koller, DO
• Aran Kongmuang, M.D.
• Jennifer Lynn Krasnicki, PHARMD
• Kierra Kruisselbrink
• Kspmd LLC (The Center For Lifestyle Change)
• Sarah J Kudelko, PA-C
• Emily Kunselman, OT
• Jacquelyn Marie Kutchel
• Helena Valentina Ladd, PHARMD, RPH, BCPS
• Susan Diana Laird, LPCC-S, CDCA

• Optometrist in Boardman, OH
• Providers in Boardman, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.