DR. BRADLEY STEWART GRANT (O.D.) – Optometrist, NPI 1386836518

DR. BRADLEY STEWART GRANT (O.D.) is a healthcare provider. based in Bloomington, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2737 (TN). The NPI Number for DR. BRADLEY STEWART GRANT (O.D.) is 1386836518

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY STEWART GRANT (O.D.)
NPI
1386836518
Phone
(309) 829-5311
Address
1008 N MAIN ST
Enumeration Date
12 August 2007
Last Update Date
1 July 2016

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3096627700
Graduation Year
2007 (19 years ago)
PAC ID
2163598939
Group Practice PAC ID
0749522092
Professional Enrollment ID
I20130410000207
Address ID
IL617042544BL1107XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. BRADLEY STEWART GRANT (O.D.)

  • 1008, North Main Street, Bloomington, McLean County, Illinois, 61701, United States

    BLOOMINGTON, IL 617011784

    Phone: (309) 829-5311

    Fax: (309) 827-8027

    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 22 Open Payments records for all available years, with a total value of $562.

Total Amount is formed as General ($562) + Research ($0) + Ownership ($0) = $562.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($229).

Total Amount

$562

General + Research + Ownership

Payments

22

Total payment records

General Amount

$562

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2022-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130410000207IOptometryILTBD
I20220916001171IOptometryWITBD

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
66984Removal of cataract with insertion of prosthetic lens5,22244$0
92014Established patient complete exam of visual system1,196982$0
92250Photography of the retina946891$0
92083Exam of visual field with extended testing570411$0
92012Established patient problem focused exam of visual system303180$0
View full utilization report →

Insurance plans in this area (ZIP 61701)

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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: 0749522092View full group profile
NameSpecialtyState
-IL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BRADLEY STEWART GRANT (O.D.)?
NPI 1386836518 is assigned to DR. BRADLEY STEWART GRANT (O.D.) under the national enumeration system.
Is DR. BRADLEY STEWART GRANT (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. BRADLEY STEWART GRANT (O.D.)?
The page reflects Optometrist for DR. BRADLEY STEWART GRANT (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. BRADLEY STEWART GRANT (O.D.)?
We surface Bloomington, Illinois for DR. BRADLEY STEWART GRANT (O.D.) based on available NPPES addresses.
Is DR. BRADLEY STEWART GRANT (O.D.) a real provider?
This page reflects official NPPES data for NPI 1386836518. Always confirm identity and privileges with the practice and licensing boards.

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