Active NPI
Jeffrey A Bralich, LDO
- Optician
- Youngstown, OH
National Provider Identifier
1669534095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- SC6087
- Practice address
- 116 Federal PLZ W
Youngstown, OH 44503-1302 - Phone
- (330) 743-5714
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | SC6087 | OH | Primary |
Addresses
Primary practice location
116 Federal PLZ W
Youngstown, OH 44503-1302
Mailing address
2024 Parkdale Ave
Hermitage, PA 16148-2228
Phone (724) 342-5850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0906336 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC6087 | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790467200000",
"number": "1669534095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 PARKDALE AVE",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161482228",
"telephone_number": "724-342-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 FEDERAL PLZ W",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445031302",
"telephone_number": "330-743-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRALICH",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "SC6087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0906336",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.