DR. MACKENZIE ANNE BRADLEY OD
NPI 1124640305
Optometrist in New York, NY

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment
33 W 42ND ST, NEW YORK, NY 10036(212) 938-4001 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2020, May 11, 2020 (2 updates tracked since 2020).

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

NPI1124640305
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MACKENZIE ANNE BRADLEYCredential: OD
Location Address33 W 42ND STNew York, NY 10036-8005
Mailing Address4 Gordon AveBriarcliff Manor, NY 10510-1509 · (973) 897-9715
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2020
Enumeration DateMay 11, 2020
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
NPI 1124640305 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 NY · TUV009204-01
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.
33 W 42ND ST, New York, NY 10036

Secondary Practice Location 1

Location 1760 Broadway # 2B-330Brooklyn, NY 11206-5317 · Phone (718) 963-8000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5395165666
PECOS Enrollment IDI20201027000284
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
47 services47 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
36 services36 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
11 services11 patients

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.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist (Pediatrics)
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist (Vision Therapy)
33 W 42ND ST
NEW YORK, NY 10036

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.

What insurance does Mackenzie Bradley accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer 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.