Bradley J Blumenstock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1106 Issued in NE

Practice address

1501 Pine Lake Rd Ste 1
Lincoln, NE 68512-3692

Phone

(402) 421-7773

Fax

(402) 421-7859

NPI assigned

Dec 15, 2006

Last updated

Apr 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley J Blumenstock OD PCGroup PAC ID 3678836947, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bradley J Blumenstock OD, PC

  dba Blumenstock Family Eyecare

  • Health Service Clinic/Center
  • Lincoln, NE
  • NPI 1962906537
  Medicare reassignment Care Compare group NPD Authorized official
• Nancy a Dob, OD, PC

  dba Mid America vision Center

  • Optometrist
  • Geneva, NE
  • NPI 1033161328
  NPD (past)
• Nancy a Dob, OD,PC

  dba Mid America Vision Center

  • Optometrist
  • Sutton, NE
  • NPI 1457546145
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1487716395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PINE LAKE RD STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123692",
            "telephone_number": "402-421-7773",
            "fax_number": "402-421-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PINE LAKE RD STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123692",
            "telephone_number": "402-421-7773",
            "fax_number": "402-421-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENSTOCK",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "252344",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37050",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082765800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tremayne G Bluford
• Brittney Blum
• Haley Blum, PA-C
• Kyla Jo Blum, MS CCC SLP
• Steven B. Blum, PH.D.
• Derek Francis Blumenstock
• Angela Blunt
• Kimberly Blunt
• Carrie Bobenhausen, LIMHP
• James A Bobenhouse, M.D.

• Optometrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.