Bruner, Gary Wayne
Bruner, Gary Wayne is an sole proprietor health care provider with primary practice located at 6100 Sunrise Mall , Citrus Heights CA 95610-6906. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bruner, Gary Wayne can be contacted via phone (916) 721-1466.Contact Information
Primary practice address
6100 Sunrise Mall
Citrus Heights CA 95610-6906
Phone: (916) 721-1466
Fax: (916) 726-0658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8066T | California |
Profile Details
| NPI number | 1033259387 |
|---|---|
| LBN Legal business name | Bruner, Gary Wayne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 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 | 1033259387 | NPPES |
| California | MEDICAID | SD0080660 |
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