Brad E. Bloomberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4008/T-032 Issued in OH

Practice address

1449 Boardman Canfield Rd Ste 230
Boardman, OH 44512-8053

Phone

(330) 758-6671

Fax

(330) 758-1451

NPI assigned

Oct 2, 2006

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

Enrolled in OH, MI2 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.

Enrollment records 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Myeyedr Optometry of Ohio, LLC

  • Optometrist
  • Dayton, OH
  • NPI 1902365448
  Medicare reassignment Care Compare group NPD
• Optical Management Services, LLC

  • Optometrist
  • Saginaw, MI
  • NPI 1720481484
  Medicare reassignment NPD
• Dr Bloomberg Eye Clinic

  • Optometrist
  • Boardman, OH
  • NPI 1326290594
  NPD (past) Authorized official
• Myeyedr Optometry of Ohio, LLC

  • Optometrist
  • Warren, OH
  • NPI 1720970981
  NPD
• Optical Management Services, LLC

  • Optometrist
  • Shelby Township, MI
  • NPI 1255870960
  NPD
• Optical Management Services, LLC

  • Optometrist
  • Sterling Heights, MI
  • NPI 1417137936
  NPD
• Dr. Bloomberg'S Eye Clinic

  • Optometrist
  • Warren, OH
  • NPI 1639321821
  NPD (past)
• Dr. Bloomberg'S Eye Clinic

  • Optometrist
  • Youngstown, OH
  • NPI 1720230915
  NPD (past)
• Northern Ohio Eye Consultants Inc

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1386752558
  NPD (past)
• Patabi Raj Seetharaman

  • Ophthalmology Physician
  • Galion, OH
  • NPI 1912111725

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1962596478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PARK HARBOUR DR.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-758-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 BOARDMAN CANFIELD RD STE 230",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445128053",
            "telephone_number": "330-758-6671",
            "fax_number": "330-758-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMBERG",
        "first_name": "BRAD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4008/T-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0754045",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucinda Marie Blanch, BA, QMHS
• Lance Nicholas Blau, M.D.
• Octavia Bleahu
• Albert M Bleggi, M.D.
• Nancy A Bleggi, LPCC
• Jason Blosser, RDMS
• Boardman Clinic
• Boardman Dialysis Center LLC
• Boardman Local School District
• Boardman Medical Supply Co

• Optometrist in Boardman, OH
• Providers in Boardman, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.

Verify at the official NPI Registry.