BRADLEY UPSHAW OD INC
NPI 1821206020
Optometrist in Rodeo, CA

Q: What is Bradley Upshaw Od Inc's NPI number?

The NPI number for Bradley Upshaw Od Inc is 1821206020. It was assigned to this organization in the NPPES registry on May 19, 2007.

Q: What is Bradley Upshaw Od Inc's specialty?

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

Active since May 19, 2007

671 PARKER AVE, RODEO, CA 94572(510) 799-4258(510) 799-6616 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bradley Upshaw Od Inc NPPES

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

BRADLEY UPSHAW OD INC (NPI 1821206020) is a healthcare organization registered as an optometrist in Rodeo, California and active in the NPI registry since May 2007. The organization lists Bradley George Upshaw, Owner Optometrist, as its authorized official.

NPPES Registry Identity

NPI1821206020

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBRADLEY UPSHAW OD INC

Location Address671 PARKER AVERodeo, CA 94572-1434

Mailing Address671 Parker AveRodeo, CA 94572-1434 · (510) 799-4258 · Fax (510) 799-6616

Phone(510) 799-4258

Fax(510) 799-6616

Organization SubpartNo

Authorized OfficialBradley George UpshawOwner Optometrist · (510) 799-4258

Enumeration DateMay 19, 2007

Last NPPES UpdateMarch 29, 2012

✔ NPI 1821206020 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 · 11228

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.

671 PARKER AVE, Rodeo, CA 94572

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Other Identifiers 3

Medicare PINSD0112280CA

Medicare UPINU76225CA

Other11228TCA · Optometric License

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)

Bradley Upshaw Od Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bradley Upshaw Od Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Karen Kopiko, O.D., F.A.A.O.

Optometry

NPI 1629005939

671 PARKER AVE
Rodeo, CA 94572

(510) 799-4258

✔ PECOSSame address

Bradley Upshaw, O.D.

Optometry

NPI 1992731335

671 PARKER AVE
Rodeo, CA 94572

(510) 799-4258

✔ PECOSSame 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 Bradley Upshaw Od Inc's NPI number?

The NPI number for Bradley Upshaw Od Inc is 1821206020. It was assigned to this organization in the NPPES registry on May 19, 2007.

Where is Bradley Upshaw Od Inc located?

Bradley Upshaw Od Inc is located at 671 Parker Ave, Rodeo, CA 94572. The listed phone number is (510) 799-4258.

What is Bradley Upshaw Od Inc's specialty?

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

Is Bradley Upshaw Od Inc enrolled in Medicare?

Yes. Bradley Upshaw Od Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradley Upshaw Od Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Bradley Upshaw Od Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bradley Upshaw Od Inc was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.