Bryant, Mark Kevin

Bryant, Mark Kevin is an individual health care provider with primary practice located at 322 Washington St , Hoboken NJ 07030-4832. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bryant, Mark Kevin can be contacted via phone (201) 420-0644.

Contact Information

Primary practice address
322 Washington St Hoboken NJ 07030-4832
Phone: (201) 420-0644
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00540100 New Jersey
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 27OA00540100 New Jersey

Profile Details

NPI number 1093939746
LBN Legal business name Bryant, Mark Kevin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jun 7th, 2022 - about 3 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 1093939746 NPPES
New Jersey Other 223434930 TAX IDENTIFICATION NUMBER

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