Individual
DR. BRADLEY J BLUMENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1501 PINE LAKE RD STE 1, LINCOLN, NE 68512-3692
(402) 421-7773
(402) 421-7859
Mailing address
1501 PINE LAKE RD STE 1, LINCOLN, NE 68512-3692
(402) 421-7773
(402) 421-7859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1106
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252344
MIDLANDS CHOICE
—
01
—
37050
BCBS
NE
05
—
47082765800
—
NE
Enumeration date
12/15/2006
Last updated
04/04/2018
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