Dennis M Brtva is a Optometrist in Bloomington, Illinois. Dennis M Brtva practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dennis M Brtva is 1730151572. The last update date is 2020-08-22.
Dennis M Brtva's current location address is 2109 N Veterans Pkwy, Bloomington, Illinois. You can contact this provider via phone number 3096632211 and fax number 3096642971. The mailing address for Dennis M Brtva is 2109 N Veterans Pkwy, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dennis M Brtva |
|---|---|
| Address | 2109 N Veterans Pkwy, Bloomington, Illinois |
| Phone Number | 3096632211 |
| Fax Number | 3096642971 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Brtva M Dennis |
| Credentials | O.D. |
| Telephone Number | 3096632211 |
NPI Number Detail
| NPI Number | 1730151572 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2109 N Veterans Pkwy |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617040910 |
| Phone Number | 3096632211 |
| Fax Number | 3096642971 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5721380 | IL | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the Dennis M Brtva's unique identification number?
The Dennis M Brtva has been assigned the NPI (National Provider Identifier) Number 1730151572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Dennis M Brtva?
The Dennis M Brtva is physically situated at 2109 N Veterans Pkwy, in the city of Bloomington, state of IL, with the postal code 617040910.
What is Dennis M Brtva's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dennis M Brtva is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Dennis M Brtva receive its 1730151572 assignment from the Centers for Medicare & Medicaid Services?
The Dennis M Brtva was assigned its 1730151572 by the Centers for Medicare & Medicaid Services on 2006-02-06.
As of what date were the details related to Dennis M Brtva most recently updated or revised?
The information pertaining to Dennis M Brtva, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.