Joe, Bob
Joe, Bob is an individual health care provider with primary practice located at 8105 Shoal Creek Blvd Suite A, Austin TX 78757-8040. He recently has 3 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 / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Joe, Bob can be contacted via phone (512) 454-4641.Contact Information
Primary practice address
8105 Shoal Creek Blvd Suite A
Austin TX 78757-8040
Phone: (512) 454-4641
Fax: (512) 454-1065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2286TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2286TG | Texas |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2286TG | Texas |
Profile Details
| NPI number | 1245276443 |
|---|---|
| LBN Legal business name | Joe, Bob |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Mar 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245276443 | NPPES |
| Texas | Other | 81662Q | BCBS UPIN |
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