Alexander George Donovan, | |
15340 Weir St, Omaha, NE 68137-5005 | |
(402) 932-9222 | |
Not Available |
Full Name | Alexander George Donovan |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 4 Years |
Location | 15340 Weir St, Omaha, Nebraska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457971103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 10029T (Texas) | Secondary |
152W00000X | Optometrist | 1570 (Nebraska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bruce H Brumm Md Pc | 7315916186 | 3 |
Provider Name | Bruce H Brumm Md Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750393294 PECOS PAC ID: 7315916186 Enrollment ID: O20050223000231 |
Provider Name | Millard Vision Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891926945 PECOS PAC ID: 5294873279 Enrollment ID: O20091111000607 |
Mailing Address | Practice Location Address |
---|---|
Alexander George Donovan, 726 S 159th Ave, Omaha, NE 68118-2139 Ph: (402) 350-3653 | Alexander George Donovan, 15340 Weir St, Omaha, NE 68137-5005 Ph: (402) 932-9222 |
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