Individual provider Active NPI

Bradley E Habermehl, OD

  • Optometrist
  • Pomona, CA
National Provider Identifier
1356375463
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34395 Issued in CA
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.

View all 50

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 50 clinicians

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 100Reported as group
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, IN7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 7

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
3191CTMDProfessional Counselor
OPT-002545AZMDOptometrist
18004441AINMDOptometrist
4901003225MIMDOptometrist

Practice roles (45 of 46)

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince May 1, 2022 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Visionworks, Inc Optometrist CurrentSince Dec 20, 2023 Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince May 19, 2025 Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Jul 17, 2023 Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Nov 7, 2023 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 5, 2024 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince May 19, 2025 Accepting new patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Jul 17, 2023 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Waterford Optometric PC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Wisconsin Vision, LLC Optometrist Current Accepting new patients
Heritage Optical Center Inc Optometrist CurrentSince Nov 28, 2023 Accepting new patients
Apex Optometric Care PC Optometrist CurrentSince Feb 3, 2023 Accepting new patients
Visionworks, Inc CurrentSince Nov 1, 2023 Accepting new patients
Third Optometric Care of California Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Western University of Health Sciences CurrentSince Aug 24, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 8, 2021 Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Nov 5, 2022 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 1, 2023 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Oct 1, 2021 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 CurrentSince Jan 1, 2022 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 5, 2024 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Sep 8, 2021 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince May 1, 2022 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Feb 1, 2022 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 CurrentSince Jan 1, 2026 Accepting new patients
Raffaele Inc CurrentSince Apr 24, 2024 Accepting new patients
Western University of Health Sciences Optometrist CurrentSince Aug 24, 2019 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

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz
  • Direct secure messaging: bhabermehl293875@direct.ochin.org

Specialties & licenses 7

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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
IdentifierTypeStateIssuer
BH003225OtherMIBCBS 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

Verify at the official NPI Registry.