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Individual

GREGORY J BRUCHS

Active
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Individual

GREGORY J BRUCHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3399
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000009496
ANTHEM
OH
05
0449009
OH
01
0510790001
DMERC
OH
01
2280338
UNITED HEALTHCARE
OH
01
310949280026
CARESOURCE
OH
Enumeration date
06/13/2005
Last updated
11/20/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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