DR. MACKENZIE ANNE BRADLEY OD
NPI 1124640305
Optometrist in New York, NY
About Dr. Mackenzie Anne Bradley Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MACKENZIE ANNE BRADLEY OD (NPI 1124640305) is an individual optometrist in New York, New York, licensed in New York (TUV009204-01) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of State University Of New York - State College Optometry (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mackenzie Anne Bradley Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Mackenzie Bradley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10036
- Reassigned Medicare billing, New York enrollment
- 216 clinicians in this Medicare group
Staten Island, NY 10314
- Reassigned Medicare billing, New York enrollment
- 46 clinicians in this Medicare group
Hamburg, NY 14075
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mackenzie Bradley's NPI number?
The NPI number for Mackenzie Bradley is 1124640305. It was assigned to this individual provider in the NPPES registry on May 11, 2020.
Where is Mackenzie Bradley located?
Mackenzie Bradley practices at 33 W 42nd St, New York, NY 10036. The listed phone number is (212) 938-4001.
What is Mackenzie Bradley's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mackenzie Bradley enrolled in Medicare?
Yes. Mackenzie Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mackenzie Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Bradley reassigns Medicare benefits to 3 organizations: State Of New York Comptrollers Office (New York, NY), Eye Care Vision Optometry PC (Staten Island, NY) and Evergreen Optometry PLLC (Hamburg, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Bradley accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Mackenzie Bradley 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 Mackenzie Bradley was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Mackenzie Anne Bradley, OD · NPI 1124640305
Optometrist provider in New York, New York. Individual provider, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1124640305 (Entity type: Individual)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV009204-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 33 W 42ND ST, New York, NY 10036-8005
- **Phone:** (212) 938-4001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): State Of New York Comptrollers Office (NPI 1407829856, New York, NY); Eye Care Vision Optometry PC (NPI 1851983654, Staten Island, NY); Evergreen Optometry PLLC (NPI 1710731104, Hamburg, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2020
## Record status
- **NPPES last updated:** August 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124640305) · Data from the CMS NPPES public registry.