Individual
DR. BRUCE ANTHONY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6400 O ST, LINCOLN, NE 68510-2351
(702) 465-3368
Mailing address
7820 S 28TH ST, LINCOLN, NE 68516-5870
(308) 760-3184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
967
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0341800001
CGLIC CIGNA
—
01
—
410019713
RAILROAD MEDICARE
—
05
—
76025834700
—
NE
Enumeration date
08/31/2006
Last updated
04/05/2013
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