Moore, Bruce
Moore, Bruce is an individual health care provider with primary practice located at 930 Commonwealth Ave Suite 2A, Boston MA 02215-1220. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Moore, Bruce can be contacted via phone (617) 262-2020.Contact Information
Primary practice address
930 Commonwealth Ave Suite 2A
Boston MA 02215-1220
Phone: (617) 262-2020
Fax: (617) 236-6323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2514 | Massachusetts |
Profile Details
| NPI number | 1831191279 |
|---|---|
| LBN Legal business name | Moore, Bruce |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Nov 10th, 2009 - about 17 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 | 1831191279 | NPPES |
| Massachusetts | MEDICAID | 0313815 |
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