Bernal, Eugene J.

Bernal, Eugene J. is an individual health care provider with primary practice located at 587 Hartford Ave , White River Junction VT 05001-8031. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bernal, Eugene J. can be contacted via phone (802) 295-4887.

Contact Information

Primary practice address
587 Hartford Ave White River Junction VT 05001-8031
Phone: (802) 295-4887
Fax: (802) 295-5896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VT0300000220 Vermont

Profile Details

NPI number 1902841380
LBN Legal business name Bernal, Eugene J.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Apr 29th, 2008 - about 16 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 1902841380 NPPES
Vermont MEDICAID 1009878

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