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Contact Information

GREGORY J BRUCHS, OD
3100 GOVERNORS PLACE BLVD
STE 100
KETTERING, OH45409-1335
 Phone: 937-297-7676
 Fax: 937-297-7690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GREGORY J BRUCHS · (Male)

NPI # 1245234749
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/13/2005
Last updated 11/20/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 3399
  • OH Medicaid 0449009
  • OH Other 000000009496 ANTHEM
  • OH Other 310949280026 CARESOURCE
  • OH Other 0510790001 DMERC
  • OH Other 2280338 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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