Rakusin, Bruce L

Rakusin, Bruce L is an individual health care provider with primary practice located at 255 Worcester Rd Mass Optometric Associates, P.C. Sea N Surf Rte 9, Framingham MA 01701-5308. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rakusin, Bruce L can be contacted via phone (508) 879-3442.

Contact Information

Primary practice address
255 Worcester Rd Mass Optometric Associates, P.C. Sea N Surf Rte 9 Framingham MA 01701-5308
Phone: (508) 879-3442
Fax: (508) 879-2251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2509 Massachusetts

Profile Details

NPI number 1952348534
LBN Legal business name Rakusin, Bruce L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952348534 NPPES
Massachusetts MEDICAID 0351261

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