Bleiler, Brian Eugene

Bleiler, Brian Eugene is an individual health care provider with primary practice located at 406 E 4Th St , Watkins Glen NY 14891-1217. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bleiler, Brian Eugene can be contacted via phone (607) 535-4842.

Contact Information

Primary practice address
406 E 4Th St Watkins Glen NY 14891-1217
Phone: (607) 535-4842
Fax: (607) 398-3413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT005098 New York

Profile Details

NPI number 1255327854
LBN Legal business name Bleiler, Brian Eugene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jan 25th, 2012 - about 13 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 1255327854 NPPES
Other 410020897 RR MEDICARE

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