BRADLEY KOVACH O.D.
NPI 1457028250
Optometrist in San Luis Obispo, CA

Q: What is Bradley Kovach's NPI number?

The NPI number for Bradley Kovach is 1457028250. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Q: What is Bradley Kovach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Kovach was last updated on June 21, 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.

Active since August 27, 2021PECOS EnrolledAccepts Medicare Assignment

1540 FROOM RANCH WAY, SAN LUIS OBISPO, CA 93405(805) 544-0450(805) 544-0275 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2023, Aug 27, 2021 (2 updates tracked since 2021).

On this page

About Bradley Kovach O.d. NPPES

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

BRADLEY KOVACH O.D. (NPI 1457028250) is an individual optometrist in San Luis Obispo, California, licensed in California (34935) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2021).

NPPES Registry Identity

NPI1457028250

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameBRADLEY KOVACHCredential: O.D.

Location Address1540 FROOM RANCH WAYSan Luis Obispo, CA 93405-7211

Mailing Address1540 Froom Ranch WaySan Luis Obispo, CA 93405-7211 · (805) 544-0450 · Fax (805) 540-5896

Phone(805) 544-0450

Fax(805) 544-0275

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 2021

Enumeration DateAugust 27, 2021

Last NPPES UpdateJune 21, 20262 updates tracked since enumeration

NPPES CertifiedJune 21, 2026

✔ NPI 1457028250 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 CA · 34935

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.

1540 FROOM RANCH WAY, San Luis Obispo, CA 93405

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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

Bradley Kovach O.d. 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 ID1850809187

PECOS Enrollment IDI20250806001823

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 93405 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

$135.73 typical visit price

range $59.84 – $178.89

Typical copayment $33.93 (range $14.96 – $44.72)

Most-billed visit code 99204

Established Patient

$74.24 typical visit price

range $19.70 – $146.55

Typical copayment $18.56 (range $4.92 – $36.63)

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 10

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

KADEE VANNORSDALL PHARMD

Pharmacist