Bradley D Richter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1960 Issued in MN

Practice address

1965 11TH Ave E
Maplewood, MN 55109-5167

Phone

(651) 777-3555

Fax

(651) 777-4459

NPI assigned

May 10, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Optometric Eye Care Centers, P.a.

  • Optometrist
  • Fridley, MN
  • NPI 1548356595
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1922058247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 11TH AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095167",
            "telephone_number": "651-777-3555",
            "fax_number": "651-777-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 11TH AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095167",
            "telephone_number": "651-777-3555",
            "fax_number": "651-777-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537723400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410012529",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Carly Reznick, MS CCC SLP
• RHSC Inc.
• Richangel Care Incorporated
• Andrea Richert, MS, CCC-SLP
• Patricia Lynn Richman, MD
• Molly Frances Richter
• Lori A Ricke, M.D.
• Rachel Jo Riesgraf, MS, CGC
• Jessica Danielle Riggs, PSYD
• Leslie Denise Ritenour

• Optometrist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.