BRADLEY J WALKER (O.D.) – Optometrist, NPI 1003889460

BRADLEY J WALKER (O.D.) is a healthcare provider. based in Mesa, Arizona. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 704 (AZ). The NPI Number for BRADLEY J WALKER (O.D.) is 1003889460

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY J WALKER (O.D.)
NPI
1003889460
Phone
(480) 892-8400
Address
2610 E UNIVERSITY DR
Enumeration Date
8 February 2006
Last Update Date
17 October 2007

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
4809857400
Graduation Year
1985 (41 years ago)
PAC ID
9133025182
Group Practice PAC ID
1850296989
Professional Enrollment ID
I20031210000374
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BRADLEY J WALKER (O.D.)

  • 2610, East University Drive, Mesa, Maricopa County, Arizona, 85213, United States

    MESA, AZ 852138436

    Phone: (480) 892-8400

    Fax: (480) 892-9533

    Type: Mailing

  • West 16th Street, Safford, Graham County, Arizona, 85548, United States

    SAFFORD, AZ 855464081

    Phone: (928) 428-0068

    Fax: (928) 428-0713

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031210000374IOptometryAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85213)

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Provider's Procedures

BRADLEY J WALKER (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAZ92012Eye and medical examination for diagnosis and treatment, established patient480369

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850296989View full group profile
NameSpecialtyState
O P T O M E T R YAZ
Certified Registered Nurse Anesthetist (Crna)MT
O P T O M E T R YAZ
O P H T H A L M O L O G YAZ
-AZ
-AZ
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YAZ
-AZ
-GA

Reviews

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Frequently asked questions

What federal number belongs to BRADLEY J WALKER (O.D.)?
The federal identifier for BRADLEY J WALKER (O.D.) is NPI 1003889460.
Is BRADLEY J WALKER (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRADLEY J WALKER (O.D.)'s specialty in plain language?
Clinically, the directory lists BRADLEY J WALKER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRADLEY J WALKER (O.D.)?
The page summarizes Mesa, Arizona for BRADLEY J WALKER (O.D.); expand the address list for detail.
How can I contact BRADLEY J WALKER (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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