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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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