BRADLEY MILES KARDATZKE (OD) – Optometrist, NPI 1104816545

BRADLEY MILES KARDATZKE (OD) is a healthcare provider. based in Irving, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4929TG (TX). The NPI Number for BRADLEY MILES KARDATZKE (OD) is 1104816545

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY MILES KARDATZKE (OD)
NPI
1104816545
Phone
Not provided
Address
PO BOX 153328
Enumeration Date
26 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9722540033
Graduation Year
1992 (34 years ago)
PAC ID
9931166303
Professional Enrollment ID
I20041216001004
Address ID
TX750617355IR708XXBLVD401
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

3,128 OPTOMETRY in TX

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Provider Addresses for BRADLEY MILES KARDATZKE (OD)

  • PO BOX 153328

    IRVING, TX 750153328

    Phone:

    Type: Mailing

  • 708, North MacArthur Boulevard, Irving, Dallas County, Texas, 75061, United States

    IRVING, TX 750617355

    Phone: (972) 254-0033

    Fax: (972) 254-0055

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-12-16

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
I20041216001004IOptometryTXTBD

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 system4545$0
92250Photography of the retina4039$0
92004New patient complete exam of visual system3838$0
92012Established patient problem focused exam of visual system3528$0
92133Imaging of optic nerve1313$0
View full utilization report →

Insurance plans in this area (ZIP 75015)

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Provider's Procedures

BRADLEY MILES KARDATZKE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92012Eye and medical examination for diagnosis and treatment, established patient4540
OPTOMETRYTX92083Measurement of field of vision during daylight conditions5049

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Frequently asked questions

What is the 10-digit NPI for BRADLEY MILES KARDATZKE (OD)?
BRADLEY MILES KARDATZKE (OD) — NPI 1104816545 — is the standard way to identify this listing.
Can I rely on BRADLEY MILES KARDATZKE (OD) being an active provider?
As of the registry snapshot, BRADLEY MILES KARDATZKE (OD) is marked active.
What taxonomy line describes BRADLEY MILES KARDATZKE (OD)?
For research purposes, treat BRADLEY MILES KARDATZKE (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does BRADLEY MILES KARDATZKE (OD) serve?
BRADLEY MILES KARDATZKE (OD)'s listing highlights Irving, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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