Dennis Bruder Odpa in Elizabeth - Optometrist
Dennis Bruder Odpa - NPI 1356569800
Dennis Bruder Odpa is a Optometrist in Elizabeth, New Jersey. Dennis Bruder Odpa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dennis Bruder Odpa is 1356569800. The last update date is 2020-08-22.
Dennis Bruder Odpa's current location address is 9 Broad St, Elizabeth, New Jersey. You can contact this provider via phone number 9083522186 and fax number 9083511230. The mailing address for Dennis Bruder Odpa is 9 Broad St, Elizabeth, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dennis Bruder Odpa |
|---|---|
| Address | 9 Broad St, Elizabeth, New Jersey |
| Phone Number | 9083522186 |
| Fax Number | 9083511230 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Bruder Dennis |
| Credentials | OD |
| Telephone Number | 9083522186 |
NPI Number Detail
| NPI Number | 1356569800 |
|---|---|
| Provider Enumeration Date | 2007-04-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9 Broad St |
|---|---|
| City | Elizabeth |
| State | New Jersey (NJ) |
| Post Code | 72012215 |
| Phone Number | 9083522186 |
| Fax Number | 9083511230 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 27OA00355500 |
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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 |
|---|---|---|---|
| 7081201 | NJ | -- |
Post Comment/ Review Below
What is the Dennis Bruder Odpa's 1356569800?
The Dennis Bruder Odpa's NPI (National Provider Identifier) Number is 1356569800. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dennis Bruder Odpa's physical address?
The Dennis Bruder Odpa is physically located at 9 Broad St, in the city of Elizabeth, NJ, with the postal code 72012215.
What is the Dennis Bruder Odpa's area of specialization and corresponding taxonomy classification?
The Dennis Bruder Odpa's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1356569800 to Dennis Bruder Odpa?
The Dennis Bruder Odpa received its 1356569800 assignment from the Centers for Medicare & Medicaid Services on 2007-04-22.
As of what date were the details related to Dennis Bruder Odpa most recently updated or revised?
The information pertaining to Dennis Bruder Odpa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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