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BRADLEY BYWATER O.D.
NPI 1407159890
Optometrist in Mesa, AZ

Active since December 07, 2010PECOS Enrolled
1517 S SIGNAL BUTTE RD, MESA, AZ 85209(602) 308-2102 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2026, Feb 27, 2018 (2 updates tracked since 2018).

About Bradley Bywater O.d. NPPES

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

BRADLEY BYWATER O.D. (NPI 1407159890) is an individual optometrist in Mesa, Arizona, licensed in Arizona (OPT-001783) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2010).

NPPES Registry Identity

NPI1407159890
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRADLEY BYWATERCredential: O.D.
Location Address1517 S SIGNAL BUTTE RDMesa, AZ 85209-1630
Mailing Address607 W Desert Seasons DrSan Tan Valley, AZ 85143-3431 · (971) 678-7507
Phone(602) 308-2102
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2010
Enumeration DateDecember 7, 2010
Last NPPES UpdateMay 16, 20262 updates tracked since enumeration
NPPES CertifiedMay 16, 2026
✔ NPI 1407159890 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 AZ · OPT-001783
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.
1517 S SIGNAL BUTTE RD, Mesa, AZ 85209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Bywater O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234319567
PECOS Enrollment IDI20110203000791
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85209 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 3

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

DESERT VALLEY EYE CARE
Optometrist
1517 S SIGNAL BUTTE RD
MESA, AZ 85209
Maricopa County (971) 678-7507
LUXOTTICA OF AMERICA INC
Eyewear Supplier
1517 S SIGNAL BUTTE RD
MESA, AZ 85209
Maricopa County (602) 308-2102
GERMAN DOBSON CVS LLC
Pharmacy
1517 S SIGNAL BUTTE RD
MESA, AZ 85209
Maricopa County (480) 627-2086

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 Bywater's NPI number?

The NPI number for Bradley Bywater is 1407159890. It was assigned to this individual provider in the NPPES registry on December 7, 2010.

Where is Bradley Bywater located?

Bradley Bywater practices at 1517 S Signal Butte Rd, Mesa, AZ 85209. The listed phone number is (602) 308-2102.

What is Bradley Bywater's specialty?

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

Is Bradley Bywater enrolled in Medicare?

Yes. Bradley Bywater is registered in the Medicare PECOS enrollment system.

What insurance does Bradley Bywater accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Bradley Bywater 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 Bywater was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.