Bradley Lyn Callies, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3308 Issued in MN

Practice address

127 W Vine St
Owatonna, MN 55060-2320

Phone

(507) 451-5300

NPI assigned

Jul 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Brad Callies Other name

Medicare fee-for-service enrollment

Enrolled in MN

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

University of Houston - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bcod@monsoneyecare.emadirect.md

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.

• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569

  MN

  Medicare reassignment Care Compare group NPD
• Jerald L Monson Jr OD

  dba Monson Eyecare Center

  • Optometrist
  • Waseca, MN
  • NPI 1447328646
  NPD (past)
• Huron Vision Center

  • Optometrist
  • Huron, SD
  • NPI 1538343934
  NPD (past)
• Vision Care Associates, LLP

  • Optometrist
  • Aberdeen, SD
  • NPI 1265502264
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992725436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 7TH ST NW",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559201470",
            "telephone_number": "605-352-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W VINE ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602320",
            "telephone_number": "507-451-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIES",
        "first_name": "BRADLEY",
        "middle_name": "LYN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "589",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201292",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "CALLIES",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Calilay LLC
• Calilay LLC
• Calilay LLC
• Calilay LLC
• Calilay LLC
• Abigail Canton, DPT
• Terry Joe Carlyle, ATC
• Cayla Kathleen Carr, PA-C
• Cedar Chiropractic Office
• Tamara Cedergren, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.