Rachel Bruinsma, OD | |
6535 Nemours Pkwy, Orlando, FL 32827-7884 | |
(407) 567-4000 | |
(407) 567-5924 |
Full Name | Rachel Bruinsma |
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Gender | Female |
Speciality | Optometrist - Pediatrics |
Location | 6535 Nemours Pkwy, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326617945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3683-35 (Wisconsin) | Secondary |
152WP0200X | Optometrist - Pediatrics | OPC6172 (Florida) | Primary |
Provider Name | The Medical College Of Wisconsin Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Rachel Bruinsma, OD 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4100 | Rachel Bruinsma, OD 6535 Nemours Pkwy, Orlando, FL 32827-7884 Ph: (407) 567-4000 |
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