Fernandes, Bruce J.

Fernandes, Bruce J. is an sole proprietor health care provider with primary practice located at 10 Mall Dr. West , Jersey City NJ 07310-1601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fernandes, Bruce J. can be contacted via phone (201) 798-4642.

Contact Information

Primary practice address
10 Mall Dr. West Jersey City NJ 07310-1601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00547200 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X TUV005833-1 New York

Profile Details

NPI number 1326125030
LBN Legal business name Fernandes, Bruce J.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Aug 25th, 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 1326125030 NPPES
New Jersey MEDICAID 7325509

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