Bunyon, Lamont Tyler

Bunyon, Lamont Tyler is an sole proprietor health care provider with primary practice located at 3731 Branch Ave Suite #211, Temple Hills MD 20748-1404. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Bunyon, Lamont Tyler can be contacted via phone (301) 702-0090.

Contact Information

Primary practice address
3731 Branch Ave Suite #211 Temple Hills MD 20748-1404
Phone: (301) 702-0090
Fax: (301) 702-0023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TA1617 Maryland

Profile Details

NPI number 1922141076
LBN Legal business name Bunyon, Lamont Tyler
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 19 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 1922141076 NPPES
Maryland Other TA1617 STATE LICENSE

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