Individual
NICOLE BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7214 GREEN BAY RD, KENOSHA, WI 53142-3516
(262) 694-5464
(262) 694-5790
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2846-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38615100
—
WI
Enumeration date
12/27/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us