Mares, Bernard Oscar

Mares, Bernard Oscar is an sole proprietor health care provider with primary practice located at 3844 N 32Nd St Suite 5, Phoenix AZ 85018-4928. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Mares, Bernard Oscar can be contacted via phone (602) 522-8507.

Contact Information

Primary practice address
3844 N 32Nd St Suite 5 Phoenix AZ 85018-4928
Fax: (602) 522-8507
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X

Profile Details

NPI number 1972788750
LBN Legal business name Mares, Bernard Oscar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2007
Last updated Nov 4th, 2011 - about 13 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 1972788750 NPPES
Arizona Other 367749 AHCCCS

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