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NPI Code Detail

MEDICARE: BRUCE P ABRAMSON O.D.

MEDICARE:   BRUCE P ABRAMSON  O.D.
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
1152W00000XOptometristOPT9857TCA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01035539OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841278124
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE P ABRAMSON O.D.
Provider Business Mailing Address
First Line : 3035 CLEVELAND AVE STE 100
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-2122
Country : US
Telephone Number : 707-545-3800
Fax Number : 707-528-4967
Provider Business Practice Location Address
First Line : 3035 CLEVELAND AVE STE 100
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-2122
Country : US
Telephone Number : 707-545-3800
Fax Number : 707-546-4112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 07/21/2025

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Directions to “ BRUCE P ABRAMSON O.D.” Practice Location

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