Individual
DR. STEVEN J GRADOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14760 W CENTER RD, OMAHA, NE 68144-2035
(402) 334-9100
(402) 330-4906
Mailing address
14760 W CENTER RD, OMAHA, NE 68144-2035
(402) 334-9100
(402) 330-4906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NE858
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06914
BCBS
NE
05
—
10024975500
—
NE
01
—
4775760001
DMERC
NE
01
—
P00031021
RAILROAD MEDICARE
NE
Enumeration date
03/17/2006
Last updated
07/26/2011
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