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BRADLEY J CLODFELTER OD, P.C.
NPI 1104072024
Optometrist in Chicago, IL

Active since August 12, 2008
3225 W 111TH ST, SUITE 102, CHICAGO, IL 60655(773) 238-2142(773) 238-9461 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley J Clodfelter Od, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY J CLODFELTER OD, P.C. (NPI 1104072024) is a healthcare organization registered as an optometrist in Chicago, Illinois and active in the NPI registry since August 2008. The organization lists Bradley J Clodfelter, O.d., P.c., Optometrist, as its authorized official.

NPPES Registry Identity

NPI1104072024
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBRADLEY J CLODFELTER OD, P.C.
Location Address3225 W 111TH ST, SUITE 102Chicago, IL 60655-2745
Mailing Address3225 W 111th St, Suite 102Chicago, IL 60655-2745 · (773) 238-2142 · Fax (773) 238-9461
Phone(773) 238-2142
Fax(773) 238-9461
Organization SubpartNo
Authorized OfficialBradley J Clodfelter, O.d., P.c.Optometrist · (773) 238-2142
Enumeration DateAugust 12, 2008
Last NPPES UpdateMay 9, 2011
✔ NPI 1104072024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046007766
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3225 W 111TH ST, Chicago, IL 60655
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Other Identifiers 4

OtherDN7029IL · Railroad Medicare
Medicare PIN216875IL
Medicare UPINT38349IL
Medicare PIN736130IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADLEY CLODFELTER O.D.
Optometrist
3225 W 111TH ST, SUITE 102
CHICAGO, IL 60655
Cook County (773) 238-2142
CARR EYE PROFESSIONALS PC
Optometrist
3225 W 111TH ST
CHICAGO, IL 60655
Cook County (773) 238-2142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley J Clodfelter Od, P.C.'s NPI number?

The NPI number for Bradley J Clodfelter Od, P.C. is 1104072024. It was assigned to this organization in the NPPES registry on August 12, 2008.

Where is Bradley J Clodfelter Od, P.C. located?

Bradley J Clodfelter Od, P.C. is located at 3225 W 111th St Suite 102, Chicago, IL 60655. The listed phone number is (773) 238-2142.

What is Bradley J Clodfelter Od, P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Bradley J Clodfelter Od, P.C. accept?

Health plans from BlueCross BlueShield of Tennessee list Bradley J Clodfelter Od, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley J Clodfelter Od, P.C. was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.