National Provider Identifier Database

BRAD E BLOOMBERG, OD – NPI #1962596478
Optometrist

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.


Contact Information

BRAD E BLOOMBERG, OD
1449 BOARDMAN CANFIELD RD STE 230
BOARDMAN, OH44512-8053
Phone: 330-758-6671
Fax: 330-758-1451
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BRAD E BLOOMBERG

NPI Number 1962596478
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/02/2006
Last updated 09/18/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 4008/T-032
  • OH Medicaid: 0754045
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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