Organization
BRADLEY J BLUMENSTOCK OD, PC
Active
Other names
Blumenstock Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J BLUMENSTOCK OD, PC (OPTOMETRIST)
(402) 421-7773
Entity
Organization
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
261QH0100X
Health Service Clinic/Center
Primary
1106
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026719300
—
NE
Enumeration date
03/20/2018
Last updated
03/28/2018
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