Individual
DR. BRADLEY E HABERMEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
795 E. SECOND ST., SUITE 2, POMONA, CA 91766
(909) 706-3899
(909) 469-8640
Mailing address
795 E. SECOND ST., SUITE 2, POMONA, CA 91766-2007
(909) 706-3899
(909) 469-8640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18004441A
IN
152W00000X
Optometrist
3191
CT
152W00000X
Optometrist
Primary
34395
CA
152W00000X
Optometrist
3826-35
WI
152W00000X
Optometrist
4901003225
MI
152W00000X
Optometrist
OPT-002545
AZ
152W00000X
Optometrist
TPOP47
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH003225
BCBS OF MI
MI
Enumeration date
07/11/2006
Last updated
04/03/2024
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