Bank, Ivan Bruce

Bank, Ivan Bruce is an sole proprietor health care provider with primary practice located at 8611 Hillcrest Ave Ste. 140, Dallas TX 75225-4207. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Bank, Ivan Bruce can be contacted via phone (214) 739-8611.

Contact Information

Primary practice address
8611 Hillcrest Ave Ste. 140 Dallas TX 75225-4207
Phone: (214) 739-8611
Fax: (214) 739-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 930-108T Louisiana
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 03313TG Texas

Profile Details

NPI number 1194706861
LBN Legal business name Bank, Ivan Bruce
Credentials O.D. ,F.A.A.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Jan 10th, 2015 - about 11 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 1194706861 NPPES
Louisiana Other 2264B BLUE CROSS BLUE SHIELD
Louisiana Other 83020 BLUE CROSS BLUE SHIELD
Louisiana Other 721030686BA BLUE CROSS BLUE SHIELD

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