Bisson, Mark Rudolph
Bisson, Mark Rudolph is an individual health care provider with primary practice located at 328 Redondo Ave , Long Beach CA 90814-2651. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bisson, Mark Rudolph can be contacted via phone (562) 439-0486.Contact Information
Primary practice address
328 Redondo Ave
Long Beach CA 90814-2651
Phone: (562) 439-0486
Fax: (562) 987-3596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9206 | California |
Profile Details
| NPI number | 1457326217 |
|---|---|
| LBN Legal business name | Bisson, Mark Rudolph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Dec 2nd, 2015 - about 10 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 | 1457326217 | NPPES |
| California | MEDICAID | 1457326217 |
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