Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Kovach, OD

Individual provider Optometrist · NPI 1457028250

Bradley Kovach, OD is an Optometry in San Luis Obispo, California. Graduated from Southern California College of Optometry in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1540 Froom Ranch Way
San Luis Obispo, CA 93405-7211
Phone: (805) 544-0450
Fax: (805) 544-0275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34935 (CA)

Record details

NPI number1457028250
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 27, 2021
Last updated in NPPESJune 21, 2026
Certification dateJune 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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