Active NPI
Bradley E Habermehl, OD
- Optometrist
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34395
- Practice address
- 795 E. Second St.
Suite 2
Pomona, CA 91766 - Phone
- (909) 706-3899
- Fax
- (909) 469-8640
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 50
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1811279763
CA
-
- Optometrist
- Susanville, CA
- NPI 1326660960
CA, Optometrist
-
- Optometrist
- Kenosha, WI
- NPI 1164992996
-
- Optometrist
- Shorewood, WI
- NPI 1154699445
-
- Optometrist
- New Berlin, WI
- NPI 1134179427
-
- Pharmacy
- Pomona, CA
- NPI 1295051779
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western University of Health Sciences
Practice addresses (Care Compare)
795 E 2ND St
Suite 2
Pomona, CA 91766-2007
Phone (909) 469-8673
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 68.78
- Improvement activities
- 40
- Cost
- 78.85
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA, FL, CT, WI, AZ, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Medicare enrollment records 7
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070118000342 | MI | Practitioner - Optometry | 2365443314 | Reassigns benefits to 4 organizations |
| I20191024002308 | CA | Practitioner - Optometry | 2365443314 | Reassigns benefits to 4 organizations |
| I20210920001128 | FL | Practitioner - Optometry | 2365443314 | Reassigns benefits to 2 organizations |
| I20211025001259 | CT | Practitioner - Optometry | 2365443314 | Reassigns benefits to 4 organizations |
| I20220207001359 | WI | Practitioner - Optometry | 2365443314 | Reassigns benefits to 4 organizations |
| I20220525001439 | AZ | Practitioner - Optometry | 2365443314 | Reassigns benefits to 4 organizations |
| I20231121000865 | IN | Practitioner - Optometry | 2365443314 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3191 | CT | MD | Professional Counselor |
| OPT-002545 | AZ | MD | Optometrist |
| 18004441A | IN | MD | Optometrist |
| 4901003225 | MI | MD | Optometrist |
Practice roles (45 of 46)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Optometry P.C. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Optometrist | Current | Accepting new patients |
| Third Optometric Care of California PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| John H McDougall OD Arizona PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Bartz-Altadonna Community Health Center | Current | Accepting new patients | |
| Wisconsin Vision, LLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care Arizona PLLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care Kentucky, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Bartz-Altadonna Community Health Center | Current | Accepting new patients | |
| Family First Vision Care Arizona PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Waterford Optometric PC | Optometrist | Current | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Current | Accepting new patients |
| Heritage Optical Center Inc | Optometrist | Current | Accepting new patients |
| Apex Optometric Care PC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Third Optometric Care of California | Optometrist | Current | Accepting new patients |
| Western University of Health Sciences | Current | Accepting new patients | |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Troy Humphreys OD Faao, Professional Corporation | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Western University of Health Sciences | Current | Accepting new patients | |
| Third Optometric Care of California | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr. Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Nationwide Optometry P.C. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Wisconsin Vision, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Aeg Florida Professional PLLC | Optometrist | Current | Accepting new patients |
| Raffaele Inc | Current | Accepting new patients | |
| Western University of Health Sciences | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Past | Accepting new patients |
Locations (25 of 84)
10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001
1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600
545 N Peart Rd
Casa Grande, AZ 85122
Phone (520) 316-5590
220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865
801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400
1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962
20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388
937 N Dobson Rd
Ste 102
Mesa, AZ 85201
Phone (480) 649-6100
955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865
8215 W Bell Rd
Ste 122
Peoria, AZ 85382
Phone (623) 878-6948
85 W Combs Rd
Ste 108
San Tan Valley, AZ 85140
Phone (602) 239-4286
2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992
1825 E Guadalupe Rd
Ste F107
Tempe, AZ 85283
Phone (480) 730-1884
4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873
6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000
1785 W Valencia Rd
Unit 101
Tucson, AZ 85746
Phone (520) 807-5721
4386 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-4435
182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757
43322 Gingham Ave
Lancaster, CA 93535
Phone (661) 579-9317
43322 Gingham Ave
Ste 105
Lancaster, CA 93535
Phone (661) 874-4029
795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877
795 E 2nd St
Ste 2
Pomona, CA 91766
Phone (909) 469-8673
1850 N Riverside Ave
Ste 220
Rialto, CA 92376
Phone (909) 421-3003
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
600 Ash St
Susanville, CA 96130
Phone (530) 257-3636
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ecp_cecaz
- bhabermehl293875@direct.ochin.org
Specialties & licenses 7
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003225 | MI | |
| Optometrist | 152W00000X | 3826-35 | WI | |
| Optometrist | 152W00000X | OPT-002545 | AZ | |
| Optometrist | 152W00000X | 3191 | CT | |
| Optometrist | 152W00000X | TPOP47 | FL | |
| Optometrist | 152W00000X | 18004441A | IN | |
| Optometrist | 152W00000X | 34395 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
795 E. Second St.
Suite 2
Pomona, CA 91766
Mailing address
795 E. Second St.
Suite 2
Pomona, CA 91766-2007
Phone (909) 706-3899
Other practice location 1
4091 Richfield Rd
Flint, MI 48506
Phone (810) 736-6673
Other practice location 2
4091 Richfield Rd
Flint, MI 48506
Phone (810) 736-6673
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH003225 | Other | MI | BCBS OF MI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2024.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1356375463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 E. SECOND ST.",
"address_2": "SUITE 2",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-706-3899",
"fax_number": "909-469-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E. SECOND ST.",
"address_2": "SUITE 2",
"city": "POMONA",
"state": "CA",
"postal_code": "91766",
"telephone_number": "909-706-3899",
"fax_number": "909-469-8640"
}
],
"practiceLocations": [
{
"address_1": "4091 Richfield Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "48506",
"country_code": "US",
"telephone_number": "810-736-6673",
"fax_number": "810-736-2713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4091 Richfield Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "48506",
"country_code": "US",
"telephone_number": "810-736-6673",
"fax_number": "810-736-2713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HABERMEHL",
"first_name": "BRADLEY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003225",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3826-35",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002545",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "3191",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "TPOP47",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004441A",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "BH003225",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.