Bruce E. Bachelder O.d.,llc

NPI 1063758712 - Optometrist - 152W00000X

NPI Details
NPI 1063758712
Enumeration Date 12/28/2012
Last Updated 12/28/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRUCE EUGENE BRUCE
Position OWNER
Phone (419) 884-0500
Fax
Practice Location
35 PLYMOUTH ST
LEXINGTON OH, 44904-1123, US
Phone (419) 884-0500
Fax
Business Location
35 PLYMOUTH ST
LEXINGTON OH, 44904-1123, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Ohio
License Number 3012-T185
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According to our database, Bruce E. Bachelder O.d.,llc NPI is 1063758712, taxonomy code is 152W00000X and license number is 3012-T185, license state is located at Ohio. Bruce E. Bachelder O.d.,llc physically located at 35 Plymouth St, Lexington OH, 44904-1123. NPI Number 1033115704 has the healthcare provider type.

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1063758712 NPI number is provided on an as is basis without warranty of any kind. 1063758712 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce E. Bachelder O.d.,llc are for informational purposes only.