BRADLEY J BLUMENSTOCK OD PC NPI 1962906537

NPI Information

BRADLEY J BLUMENSTOCK OD, PC is a health service clinic center in Lincoln, NE. BRADLEY J BLUMENSTOCK OD, PC NPI is 1962906537. The provider is registered as an organization entity type.
The provider Is Doing Business As Blumenstock Family Eyecare.

The provider's business location address is:

1501 PINE LAKE RD STE 1
LINCOLN, NE
ZIP 68512-692
Phone: (402) 421-7773
Fax: (402) 421-7859

The provider's authorized official is Bradley J Blumenstock .
The authorized official title is Optometrist and has the following contact phone number (402) 421-7773.

The enumeration date for this NPI number is 3/20/2018 and was last updated on 3/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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