Michael N Brodoski

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

37650 Professional Ctr Dr Ste 125 a
Livonia, MI 48154

Phone

(734) 953-0233

Fax

(734) 462-1496

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Attractive Eyewear Inc

  • Optician
  • Livonia, MI
  • NPI 1508955709
  NPD Authorized official
• Eye Clinic of Livonia, P.C.

  • Specialist
  • Livonia, MI
  • NPI 1215078126
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1194866004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CTR DR STE 125 A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-953-0233",
            "fax_number": "734-462-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CTR DR STE 125 A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-953-0233",
            "fax_number": "734-462-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODOSKI",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540220276",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Brinning
• Rex Rosete Briones, D.D.S.
• Jessica Brobst, DPT
• Christopher B Brock, D.O.
• Gari Ann Brock, LMSW
• Claire Therese Bronner, OTR
• Kimberly Brookins
• Jordan Brooks
• Samantha Brooks
• Taliyah Brooks

• Optician in Livonia, MI
• Providers in Livonia, MI by specialty
• Optician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.