DR JILLIAN BRADLEY LLC
NPI 1174224638
Optometrist in Niantic, CT

Q: What is Dr Jillian Bradley LLC's NPI number?

The NPI number for Dr Jillian Bradley LLC is 1174224638. It was assigned to this organization in the NPPES registry on March 13, 2023.

Q: What is Dr Jillian Bradley LLC's specialty?

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

Active since March 13, 2023

18 PENNSYLVANIA AVE, NIANTIC, CT 06357(860) 391-1542(860) 691-0105 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2023, Mar 13, 2023 (2 updates tracked since 2023).

On this page

About Dr Jillian Bradley Llc NPPES

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

DR JILLIAN BRADLEY LLC (NPI 1174224638) is a healthcare organization registered as an optometrist in Niantic, Connecticut and active in the NPI registry since March 2023. The organization lists Jillian Ann Lombardi, Member, as its authorized official.

NPPES Registry Identity

NPI1174224638

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR JILLIAN BRADLEY LLC

Location Address18 PENNSYLVANIA AVENiantic, CT 06357-3231

Mailing Address18 Pennsylvania AveNiantic, CT 06357-3231 · (860) 391-1542 · Fax (869) 691-0105

Phone(860) 391-1542

Fax(860) 691-0105

Organization SubpartNo

Authorized OfficialJillian Ann LombardiMember · (860) 391-1542

Enumeration DateMarch 13, 2023

Last NPPES UpdateApril 4, 20232 updates tracked since enumeration

NPPES CertifiedApril 4, 2023

✔ NPI 1174224638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

18 PENNSYLVANIA AVE, Niantic, CT 06357

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Jillian Bradley Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Jillian Bradley LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jillian Lombardi, O.D.

Optometry

NPI 1730230657

18 PENNSYLVANIA AVE
Niantic, CT 06357

(860) 391-1542

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr Jillian Bradley LLC's NPI number?

The NPI number for Dr Jillian Bradley LLC is 1174224638. It was assigned to this organization in the NPPES registry on March 13, 2023.

Where is Dr Jillian Bradley LLC located?

Dr Jillian Bradley LLC is located at 18 Pennsylvania Ave, Niantic, CT 06357. The listed phone number is (860) 391-1542.

What is Dr Jillian Bradley LLC's specialty?

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

Is Dr Jillian Bradley LLC enrolled in Medicare?

Yes. Dr Jillian Bradley LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Jillian Bradley LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr Jillian Bradley LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Jillian Bradley LLC was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.