B.D.G.Optics, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002961 Issued in MI

Legal business name

B.D.G.OPTICS, INC

Practice address

4363 Highland Rd
Waterford, MI 48328-2141

Phone

(248) 674-4065

Fax

(248) 673-4428

NPI assigned

Mar 5, 2007

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Dean Goldberg, O.D.NPI 1740236884

Title

President

Phone

(248) 674-4065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Dean Goldberg, O.D.

  • Optometrist
  • Waterford, MI
  • NPI 1740236884
  Medicare reassignment Authorized official
• Jill Meredith Goldberg, OD

  • Optometrist
  • Waterford, MI
  • NPI 1699240200
  Medicare reassignment

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1033248000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282141",
            "telephone_number": "248-674-4065",
            "fax_number": "248-673-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4363 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282141",
            "telephone_number": "248-674-4065",
            "fax_number": "248-673-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.D.G.OPTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-674-4065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled Awwad, PMHNP
• Fozia Ayaz, LLMSW-C
• Ayres Physical Therapy PLLC
• Elizabeth Ayres
• Jeffrey Richard Ayres, CAC1
• Cassandra Babcock
• Roberta Stefanie Babics, LLBSW
• Nicole Irene Back
• Kelly Backers
• M-Amin Badawi, M.D.

• Optometrist in Waterford, MI
• Providers in Waterford, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.