BRAD C LEWIS (O.D.) – Optometrist, NPI 1619958188

BRAD C LEWIS (O.D.) is a healthcare provider. based in Springfield, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2002015838 (MO). The NPI Number for BRAD C LEWIS (O.D.) is 1619958188

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BRAD C LEWIS (O.D.)
NPI
1619958188
Phone
Not provided
Address
3440 S NATIONAL AVE
Enumeration Date
10 November 2005
Last Update Date
16 September 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
4688669773
Group Practice PAC ID
2668404161
Professional Enrollment ID
I20050906000761
Address ID
MO658077307Sp3440XAVEX400
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

863 OPTOMETRY in MO

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Provider Addresses for BRAD C LEWIS (O.D.)

  • 3440, South National Avenue, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658077307

    Phone:

    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 27 Open Payments records for all available years, with a total value of $1,258.

Total Amount is formed as General ($1,258) + Research ($0) + Ownership ($0) = $1,258.

Last reported payment date: 2024-12-28 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($467).

Total Amount

$1,258

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,258

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-28

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: 2005-09-06

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
I20050906000761IOptometryMOTBD

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 system159158$0
92250Photography of the retina122118$0
99213Established patient office or other outpatient visit, 20-29 minutes7255$0
92134Imaging of retina3427$0
92133Imaging of optic nerve3125$0
View full utilization report →

Insurance plans in this area (ZIP 65807)

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Provider's Procedures

BRAD C LEWIS (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92134Diagnostic imaging of retina1615

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: 2668404161View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
-MO
O P T O M E T R YMO

Reviews

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Frequently asked questions

How is BRAD C LEWIS (O.D.) identified in CMS data?
CMS-hosted NPPES data lists BRAD C LEWIS (O.D.) with NPI 1619958188.
Does the file indicate BRAD C LEWIS (O.D.) is practicing under active NPI?
Directory data currently reports BRAD C LEWIS (O.D.) as active.
What is BRAD C LEWIS (O.D.)'s specialty?
The listing groups BRAD C LEWIS (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does BRAD C LEWIS (O.D.) list a practice location?
Patients near Springfield, Missouri may find BRAD C LEWIS (O.D.) in results; validate coverage separately.
Why does BRAD C LEWIS (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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