DR. BRADLEY CLODFELTER (O.D.) – Optometrist, NPI 1568510691

DR. BRADLEY CLODFELTER (O.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 046007766 (IL). The NPI Number for DR. BRADLEY CLODFELTER (O.D.) is 1568510691

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY CLODFELTER (O.D.)
NPI
1568510691
Phone
(773) 238-2142
Address
3225 W 111TH ST
Enumeration Date
8 January 2007
Last Update Date
29 March 2011

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7083616141
Graduation Year
1984 (42 years ago)
PAC ID
6406921170
Group Practice PAC ID
4981591963
Professional Enrollment ID
I20080814000173
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRADLEY CLODFELTER (O.D.)

  • 3225, West 111th Street, Mount Greenwood, Chicago, Lake Township, Cook County, Illinois, 60655, United States

    SUITE 102

    CHICAGO, IL 606552745

    Phone: (773) 238-2142

    Fax: (773) 238-9461

    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 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-01-27 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-27

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.

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

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 60655)

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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: 4981591963View full group profile

Reviews

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Frequently asked questions

Does DR. BRADLEY CLODFELTER (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BRADLEY CLODFELTER (O.D.) uses 1568510691.
Does the file indicate DR. BRADLEY CLODFELTER (O.D.) is practicing under active NPI?
Directory data currently reports DR. BRADLEY CLODFELTER (O.D.) as active.
What taxonomy line describes DR. BRADLEY CLODFELTER (O.D.)?
For research purposes, treat DR. BRADLEY CLODFELTER (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. BRADLEY CLODFELTER (O.D.) list a practice location?
Patients near Chicago, Illinois may find DR. BRADLEY CLODFELTER (O.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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