DR. SAM B BRADLEY (O.D.) – Optometrist, NPI 1669445102

DR. SAM B BRADLEY (O.D.) is a healthcare provider. based in Fort smith, Arkansas. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 2229 (AR). The NPI Number for DR. SAM B BRADLEY (O.D.) is 1669445102

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAM B BRADLEY (O.D.)
NPI
1669445102
Phone
(479) 782-7272
Address
500 N 6TH ST
Enumeration Date
7 February 2006
Last Update Date
14 March 2018

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4799962020
Graduation Year
1977 (49 years ago)
PAC ID
0749365989
Group Practice PAC ID
8921066697
Professional Enrollment ID
I20110228000868
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 DR. SAM B BRADLEY (O.D.)

  • 500, North 6th Street, Fort Smith, Sebastian County, Arkansas, 72901, United States

    FORT SMITH, AR 729012006

    Phone: (479) 782-7272

    Fax: (479) 782-7476

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 72901)

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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: 8921066697View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAR
O P T O M E T R YAR
-AR
O P H T H A L M O L O G YAR

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Frequently asked questions

What federal number belongs to DR. SAM B BRADLEY (O.D.)?
The federal identifier for DR. SAM B BRADLEY (O.D.) is NPI 1669445102.
Is DR. SAM B BRADLEY (O.D.) active in the national directory?
DR. SAM B BRADLEY (O.D.)'s public NPI profile is in an active state.
What kind of provider is DR. SAM B BRADLEY (O.D.)?
The page reflects Optometrist for DR. SAM B BRADLEY (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. SAM B BRADLEY (O.D.)?
The snapshot lists Fort Smith, Arkansas for DR. SAM B BRADLEY (O.D.); download NPPES for the complete set.
What if Fort Smith, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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