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BRADLEY EYECARE LLC
NPI 1972008555
Optometrist in Yulee, FL

Active since March 27, 2018CLIA 10D2197578 · Waiver
463867 STATE ROAD 200 STE 4, YULEE, FL 32097(904) 277-7779 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Eyecare Llc NPPES

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

BRADLEY EYECARE LLC (NPI 1972008555) is a healthcare organization registered as an optometrist in Yulee, Florida and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through October 25, 2026, maintains a secondary practice location in Fernandina Beach, and lists Rockatonia Bradley, Owner, as its authorized official.

NPPES Registry Identity

NPI1972008555
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBRADLEY EYECARE LLC
Location Address463867 STATE ROAD 200 STE 4Yulee, FL 32097-3605
Mailing Address463867 State Road 200 Ste 4Yulee, FL 32097-3605 · (904) 277-7779
Phone(904) 277-7779
Organization SubpartNo
Authorized OfficialRockatonia BradleyOwner · (270) 339-6179
Enumeration DateMarch 27, 2018
✔ NPI 1972008555 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 FL · 5319
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.
463867 STATE ROAD 200 STE 4, Yulee, FL 32097
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Secondary Practice Location 1

Location 11523 Sadler RdFernandina Beach, FL 32034-4467 · Phone (904) 261-5955

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Molina Healthcare, Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2197578

Bradley Eyecare LLC · Fernandina Beach, FL
Active · expires Oct 25, 2026
CLIA Number10D2197578
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorRockatonia Bradley
Laboratory Phone(904) 663-2020
Laboratory LocationBradley Eyecare LLC1553 S. 8th Street, Fernandina Beach, FL 32034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Eyecare LLC's NPI number?

The NPI number for Bradley Eyecare LLC is 1972008555. It was assigned to this organization in the NPPES registry on March 27, 2018.

Where is Bradley Eyecare LLC located?

Bradley Eyecare LLC is located at 463867 State Road 200 Ste 4, Yulee, FL 32097. The listed phone number is (904) 277-7779.

What is Bradley Eyecare LLC's specialty?

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

Does Bradley Eyecare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2197578) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bradley Eyecare LLC accept?

Health plans from BlueCross BlueShield of Tennessee, Molina Healthcare and Wellpoint list Bradley Eyecare LLC 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 Eyecare LLC was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.