Individual
GREGORY J BRUENING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6751 N 72ND ST, SUITE 105, OMAHA, NE 68122-1746
(402) 572-2020
(402) 572-2150
Mailing address
6751 N 72ND ST, SUITE 105, OMAHA, NE 68122-1746
(402) 572-2020
(402) 572-2150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
02128
IA
152W00000X
Optometrist
Primary
1001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514190
—
IA
01
—
06987
BCBS NE
NE
01
—
2200237
UHC OF THE MIDLANDS
NE
01
—
22882
MIDLANDS CHOICE
NE
05
—
47067295013
—
NE
01
—
93317
COVENTRY
NE
01
—
96473
BCBS IA
IA
01
—
NEREX01660
MUTUAL OF OMAHA
NE
Enumeration date
08/12/2006
Last updated
07/09/2007
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