JENNIFER LYNN BRADLEY (O.D.) – Optometrist, NPI 1487093803

JENNIFER LYNN BRADLEY (O.D.) is a healthcare provider. based in Titusville, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC4844 (FL). The NPI Number for JENNIFER LYNN BRADLEY (O.D.) is 1487093803

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN BRADLEY (O.D.)
NPI
1487093803
Phone
(321) 269-2021
Address
338 S WASHINGTON AVE.
Enumeration Date
19 June 2013
Last Update Date
1 March 2018

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Secondary Phone
3212692021
Graduation Year
2013 (13 years ago)
PAC ID
9032359401
Group Practice PAC ID
0749242360
Professional Enrollment ID
I20140827002557
Address ID
FL327963548TI338XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for JENNIFER LYNN BRADLEY (O.D.)

  • 338 S WASHINGTON AVE.

    TITUSVILLE, FL 327963548

    Phone: (321) 269-2021

    Fax: (321) 269-2011

    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)

CMS reports 59 Open Payments records for all available years, with a total value of $1,582.

Total Amount is formed as General ($1,582) + Research ($0) + Ownership ($0) = $1,582.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($470).

Total Amount

$1,582

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,582

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-08-27

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
I20140827002557IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system5554$0
99214Established patient office or other outpatient visit, 30-39 minutes4835$0
92250Photography of the retina4443$0
99213Established patient office or other outpatient visit, 20-29 minutes4436$0
92004New patient complete exam of visual system3333$0
View full utilization report →

Insurance plans in this area (ZIP 32796)

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Provider's Procedures

JENNIFER LYNN BRADLEY (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient549297
OPTOMETRYFL92083Measurement of field of vision during daylight conditions163157
OPTOMETRYFL92134Diagnostic imaging of retina6763

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: 0749242360View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I cross-check JENNIFER LYNN BRADLEY (O.D.) using NPI 1487093803?
NPI 1487093803 belongs to JENNIFER LYNN BRADLEY (O.D.); compare other details if you need extra assurance.
Would JENNIFER LYNN BRADLEY (O.D.) appear as active to a payer?
You can treat JENNIFER LYNN BRADLEY (O.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JENNIFER LYNN BRADLEY (O.D.)?
At a glance, JENNIFER LYNN BRADLEY (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is JENNIFER LYNN BRADLEY (O.D.) located near Titusville?
JENNIFER LYNN BRADLEY (O.D.) currently maps to Titusville, Florida in this extract.
Can I trust this NPI listing for JENNIFER LYNN BRADLEY (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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