Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1649215476 Deactivated / Inactive NPI Male Practitioner

Dr. Bradley L Backhaus , OD

Optometrist • Willmar, MN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bradley Backhaus has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2006
NPI Deactivation Date February 13, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Backhaus, OD was a registered Optometrist practicing in Willmar, MN. Throughout an active medical career spanning 19 years, Dr. Backhaus provided care at the practice location at 2404 1ST ST S until profile deactivation on 2025-02-13.

Historical Medicare Part B clinical services included removal of cataract with insertion of lens, photography of the retina, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2404 1st St S
Suite 1

Willmar, MN 562016300

Telephone 3202351235
Fax 3202359241
Associated Practice Facility / Clinic
🏢 Backhaus Eye Service, Inc Facility NPI 1760674782

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Willmar, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Willmar, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
66984 Removal of cataract with insertion of lens
2,052 13 $3.99 $1.20
92250 Photography of the retina
65 64 $85.00 $39.65
92014 Established patient complete exam of visual system
23 23 $160.00 $128.28

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2069

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated February 13, 2025

Record deactivated on February 13, 2025

NPI Profile Active November 05, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2008

Registered at 2404 1ST ST S, SUITE 1, WILLMAR, MN 562016300 (Tel: 3202351235)

📍
Updated Business Mailing Address November 05, 2008

Registered at 2404 1ST ST S, SUITE 1, WILLMAR, MN 562016300 (Tel: 3202351235)

👤
Provider Name / Credentials Updated November 05, 2008

Recorded as BRADLEY BACKHAUS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2008

Optometrist (License #2069 in MN)

🟢
Initial NPI Registration & Enumeration June 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Bradley Backhaus. Be the first to share your experience!

Sign in to leave a review for Dr. Bradley Backhaus

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1649215476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2006
Last Update: November 05, 2008
Deactivation Date: February 13, 2025

Mailing Address

2404 1st St S, Suite 1

Willmar, MN 562016300

Phone: 3202351235

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.