Portnoy, Bruce M.

Portnoy, Bruce M. is an sole proprietor health care provider with primary practice located at 1133 Mchenry Rd St.108, Buffalo Grove IL 60089-1369. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Portnoy, Bruce M. can be contacted via phone (847) 478-9091.

Contact Information

Primary practice address
1133 Mchenry Rd St.108 Buffalo Grove IL 60089-1369
Phone: (847) 478-9091
Fax: (847) 478-9095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 46-006563 Illinois

Profile Details

NPI number 1104835362
LBN Legal business name Portnoy, Bruce M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 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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