| Dr Bradley Dean Goldberg, OD | |
| 
					4363 Highland Rd, Waterford, MI 48328-2141  | |
| (248) 674-4065 | |
| (248) 673-4428 | 
| Full Name | Dr Bradley Dean Goldberg | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 4363 Highland Rd, Waterford, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740236884 | NPI | - | NPPES | 
| 4901002961 | Other | MI | MI OPTOMETRY LICENSE | 
| 0F366959901 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 4901002961 (Michigan) | Primary | 
| Provider Name | B.d.g.optics, Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1033248000 PECOS PAC ID: 7911178413 Enrollment ID: O20110913000601  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Bradley Dean Goldberg, OD 4363 Highland Rd, Waterford, MI 48328-2141 Ph: (248) 674-4065  | Dr Bradley Dean Goldberg, OD 4363 Highland Rd, Waterford, MI 48328-2141 Ph: (248) 674-4065  | 
B.d.g.optics, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 4363 Highland Rd, Waterford, MI 48328 Phone: 248-674-4065 Fax: 248-673-4428  | |
Wayne G Wilde, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7074 Highland Rd Ste A, Waterford, MI 48327 Phone: 248-698-2000 Fax: 248-698-2655  | |
Opcomm Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 435 N Telegraph Rd, Waterford, MI 48328 Phone: 248-681-1301  | |
Dr. Gerald Norman Gauthier, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4924 Highland Rd, Waterford, MI 48328 Phone: 248-673-6611 Fax: 248-673-9222  | |
Js Dudovitz, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 6650 Highland Rd, 118, Waterford, MI 48327 Phone: 248-666-3377 Fax: 248-666-4332  | |
Dr. Christine Anne Brisson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4470 Highland Rd, Waterford, MI 48328 Phone: 248-674-4065 Fax: 248-673-4428  | |
Dr. David Warsh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 435 N Telegraph Rd, Waterford, MI 48328 Phone: 248-681-1301 Fax: 248-681-3374  |