OrganizationActive
Bradley J Clodfelter OD, P.C.
NPI 1104072024 · Optometrist · Chicago, IL
Provider details
- NPI number
- 1104072024
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Bradley Clodfelter, O.D., P.C., Optometrist(773) 238-2142
- License
- 046007766 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3225 W 111th St
Suite 102
Chicago, IL 60655-2745
Phone: (773) 238-2142
Fax: (773) 238-9461
Street-level locationGet directions
Mailing address
3225 W 111th St
Chicago, IL 60655-2745
Registry dates
- Enumerated
- 2008-08-12
- Last updated
- 2011-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.