MEDICARE: DR. BREANNA VELINSKY OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2337DT	KY

General Provider Information

NPI Number	:	1669159000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BREANNA VELINSKY OD

Provider Business Mailing Address
First Line	:	11513 S 42ND ST STE 100
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68123-1004
Country	:	US
Telephone Number	:	402-964-2700
Fax Number	:	402-504-3359

Provider Business Practice Location Address
First Line	:	11513 S 42ND ST STE 100
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68123-1004
Country	:	US
Telephone Number	:	402-964-2700
Fax Number	:	402-504-3359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	05/29/2026

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