Individual
GREGORY J BRUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3100 GOVERNORS PLACE BLVD, STE 100, KETTERING, OH 45409-1335
(937) 297-7676
(937) 297-7690
Mailing address
3100 GOVERNORS PLACE BLVD, STE 100, KETTERING, OH 45409-1335
(937) 297-7676
(937) 297-7690
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
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