Reid, Bruce Edwin
Reid, Bruce Edwin is an individual health care provider with primary practice located at 400 Ernest W Barrett Pkwy Nw Suite 297, Kennesaw GA 30144-4917. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reid, Bruce Edwin can be contacted via phone (770) 421-1734.Contact Information
Primary practice address
400 Ernest W Barrett Pkwy Nw Suite 297
Kennesaw GA 30144-4917
Phone: (770) 421-1734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1114T | Georgia |
Profile Details
| NPI number | 1104859461 |
|---|---|
| LBN Legal business name | Reid, Bruce Edwin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| 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.
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