Blair, Terry Bruce
Blair, Terry Bruce is an individual health care provider with primary practice located at 3800 N Mesa Ste C8, El Paso TX 79902. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blair, Terry Bruce can be contacted via phone (915) 533-1811.Contact Information
Primary practice address
3800 N Mesa Ste C8
El Paso TX 79902
Phone: (915) 533-1811
Fax: (915) 533-3641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2777T6 | Texas |
Profile Details
| NPI number | 1063402063 |
|---|---|
| LBN Legal business name | Blair, Terry Bruce |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Oct 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063402063 | NPPES |
| Other | 908516 | BLOCK VISION | |
| Other | 117935 | BLOCK VISION | |
| Other | 80783Q | BLOCK VISION | |
| MEDICAID | P0902 | BLOCK VISION | |
| MEDICAID | 112454704 | BLOCK VISION | |
| Other | 143566 | BLOCK VISION |
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