William Bruce Bourland Od Pc in Evanston - Optometrist
William Bruce Bourland Od Pc - NPI 1619147733
William Bruce Bourland Od Pc is a Optometrist in Evanston, . William Bruce Bourland Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for William Bruce Bourland Od Pc is 1619147733. The last update date is 2011-01-24.
William Bruce Bourland Od Pc's current location address is 701 Front St, Evanston, . You can contact this provider via phone number 3077898820. The mailing address for William Bruce Bourland Od Pc is 701 Front St, Evanston, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | William Bruce Bourland Od Pc |
|---|---|
| Address | 701 Front St, Evanston, |
| Phone Number | 3077898820 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bourland William |
| Telephone Number | 3077898820 |
NPI Number Detail
| NPI Number | 1619147733 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2011-01-24 |
Provider Mailing Address Detail
| Address | 701 Front St |
|---|---|
| City | Evanston |
| State | (WY) |
| Post Code | 829303522 |
| Phone Number | 3077898820 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 203T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identification code assigned to William Bruce Bourland Od Pc by the Centers for Medicare & Medicaid Services?
The William Bruce Bourland Od Pc has been issued the NPI (National Provider Identifier) 1619147733. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of William Bruce Bourland Od Pc?
The William Bruce Bourland Od Pc is physically situated at 701 Front St, in the city of Evanston, state of WY, with the postal code 829303522.
What is William Bruce Bourland Od Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William Bruce Bourland Od Pc's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date was the 1619147733 assigned to William Bruce Bourland Od Pc?
The William Bruce Bourland Od Pc was issued its 1619147733 on 2008-03-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding William Bruce Bourland Od Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to William Bruce Bourland Od Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-24.
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