NPIMap

Organization Active NPI

Michael Paul Brodsky

  • Optometrist
  • Whitehall, PA
National Provider Identifier
1003995705
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000155 Issued in PA
Legal business name
MICHAEL PAUL BRODSKY
Practice address
265 Lehigh Valley Mall
Whitehall, PA 18052-5719
Phone
(610) 266-6666
Fax
(610) 266-2984
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Paul Brodsky, ODNPI 1134115009
Title
Optometrist
Phone
(610) 266-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG-000155 PA Primary

Addresses

Primary practice location

265 Lehigh Valley Mall
Whitehall, PA 18052-5719

Mailing address

265 Lehigh Valley Mall
Whitehall, PA 18052-5719
Phone (610) 266-6666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1003995705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LEHIGH VALLEY MALL",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525719",
            "telephone_number": "610-266-6666",
            "fax_number": "610-266-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 LEHIGH VALLEY MALL",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525719",
            "telephone_number": "610-266-6666",
            "fax_number": "610-266-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PAUL BRODSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "610-266-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.