Bourdon, Greg David
Bourdon, Greg David is an sole proprietor health care provider with primary practice located at 5001 Monroe St Jcpenney Optical, Toledo OH 43623-3627. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bourdon, Greg David can be contacted via phone (419) 474-4308.Contact Information
Primary practice address
5001 Monroe St Jcpenney Optical
Toledo OH 43623-3627
Phone: (419) 474-4308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5198 T2102 | Ohio |
Profile Details
| NPI number | 1750424073 |
|---|---|
| LBN Legal business name | Bourdon, Greg David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1750424073 | NPPES |
| Ohio | MEDICAID | 2373784 |
Popular Providers
-
Kruszewski, John Anthony
3723 King Rd Suite100, Toledo OH 43617-1417 -
Costa, Dino J
1000 Regency Ct Ste 100, Toledo OH 43623-3074 -
Barron, Mark
1465 S Reynolds Rd , Toledo OH 43615-7413 -
Overmyer, William Hubert
4240 Secor Rd , Toledo OH 43623 -
Kopan, Dean
4021 W Sylvania Ave , Toledo OH 43623-4428 -
Holler, Jill Pauly
5225 Monroe St , Toledo OH 43623-3139 -
Bejot, David L
3000 Regency Ct Ste 100, Toledo OH 43623-3081 -
Schlagheck, Michele A
2865 N Reynolds Rd Suite 170, Toledo OH 43615-2068