Bradley E. Habermehl

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

4901003225 Issued in MI

Legal business name

BRADLEY E. HABERMEHL

Doing business as

Vision Therapy Group

Practice address

4091 Richfield Rd
Flint, MI 48506-2033

Phone

(810) 736-6673

Fax

(810) 736-2713

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Bradley E Habermehl, O.D.

Title

Optometrist

Phone

(810) 736-6673

Specialties & licenses 1

Addresses

Other names 1

• Vision Therapy Group Doing business as

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1932301025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-6673",
            "fax_number": "810-736-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-6673",
            "fax_number": "810-736-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY E. HABERMEHL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HABERMEHL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-736-6673",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "4901003225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Braden, PA-C
• Jessie Lyn Bradford
• Sidney Bradford, LLBSW
• Xavier Demarius Bradford, DDS
• Bradley E Habermehl OD PC
• Jared Bradley, DO
• Macie Bradley, LPN
• Michael J Bradley, LBSW
• Shaleeka Shawn Bradley, LLMSW
• Todd Bradley

• Vision Therapy Optometrist in Flint, MI
• Providers in Flint, MI by specialty
• Vision Therapy Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.