Beaulaurier, Bruce A
Beaulaurier, Bruce A is an individual health care provider with primary practice located at 12310 Ne 8Th St Suite 101, Bellevue WA 98005-3185. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beaulaurier, Bruce A can be contacted via phone (425) 455-0001.Contact Information
Primary practice address
12310 Ne 8Th St Suite 101
Bellevue WA 98005-3185
Phone: (425) 455-0001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1464 | Washington |
Profile Details
| NPI number | 1164418513 |
|---|---|
| LBN Legal business name | Beaulaurier, Bruce A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Dec 13th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164418513 | NPPES |
| Washington | MEDICAID | 2030328 |
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