Gradowski, Steven J
Gradowski, Steven J is an sole proprietor health care provider with primary practice located at 14760 W Center Rd , Omaha NE 68144-2035. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gradowski, Steven J can be contacted via phone (402) 334-9100.Contact Information
Primary practice address
14760 W Center Rd
Omaha NE 68144-2035
Phone: (402) 334-9100
Fax: (402) 330-4906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NE858 | Nebraska |
Profile Details
| NPI number | 1972572212 |
|---|---|
| LBN Legal business name | Gradowski, Steven J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 26th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972572212 | NPPES |
| Nebraska | Other | 06914 | BCBS |
| Nebraska | Other | 4775760001 | BCBS |
| Nebraska | Other | P00031021 | BCBS |
| Nebraska | MEDICAID | 10024975500 | BCBS |
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