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
Phone: (201) 798-4642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1326125030 | NPPES |
| New Jersey | MEDICAID | 7325509 |
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