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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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRAD E BLOOMBERG · (Male)

NPI Number 1962596478
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/02/2006
Last updated 09/18/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 4008/T-032
  • OH Medicaid 0754045
Hospital affiliation(s) Not Available
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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