Perry, Brad W

Perry, Brad W is an individual health care provider with primary practice located at 121 Miracle Mile Dr , Rochester NY 14623-5864. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perry, Brad W can be contacted via phone (585) 427-7960.

Contact Information

Primary practice address
121 Miracle Mile Dr Rochester NY 14623-5864
Phone: (585) 427-7960
Fax: (585) 427-0451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T006224 New York
Eye and Vision Services Providers / Optometrist 152W00000X VUT006224 New York

Profile Details

NPI number 1386618999
LBN Legal business name Perry, Brad W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 21st, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386618999 NPPES
New York Other MDF-688 PREFERRED CARE PRO. #
New York Other P010006224 PREFERRED CARE PRO. #

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