DR. BRADLEY ALAN FREDERICKSON (O.D.) – Optometrist, NPI 1174631899
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
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Provider Addresses for DR. BRADLEY ALAN FREDERICKSON (O.D.)
Evergreen Eye Center, 34719, 6th Avenue South, Federal Way, King County, Washington, 98003, United States
FEDERAL WAY, WA 980038714
Phone: (206) 212-2100
Fax: (206) 212-2194
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 29 Open Payments records for all available years, with a total value of $710.
Total Amount is formed as General ($710) + Research ($0) + Ownership ($0) = $710.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($232).
Total Amount
$710
General + Research + Ownership
Payments
29
Total payment records
General Amount
$710
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $232 |
| Alcon Vision LLC | $185 |
| Bausch & Lomb Americas Inc. | $162 |
| BIOTISSUE HOLDINGS INC. | $48 |
| Thea Pharma Inc. | $46 |
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: 2012-05-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120501000708 | I | Optometry | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 795 | 640 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 460 | 335 | $0 |
| 92134 | Imaging of retina | 295 | 238 | $0 |
| 92133 | Imaging of optic nerve | 264 | 249 | $0 |
| 92083 | Exam of visual field with extended testing | 190 | 177 | $0 |
Insurance plans in this area (ZIP 98003)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | AR | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | WA |
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