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NPI Code Detail

MEDICARE: BRUCE WILLIAM BUNKER O.D.

MEDICARE:   BRUCE WILLIAM BUNKER  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0450NH
2152W00000XOptometrist2736MA

General Provider Information

NPI Number : 1750386835
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE WILLIAM BUNKER O.D.
Provider Business Mailing Address
First Line : 19 VILLAGE SQ
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2712
Country : US
Telephone Number : 978-256-5600
Fax Number : 978-703-0250
Provider Business Practice Location Address
First Line : 19 VILLAGE SQ
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2712
Country : US
Telephone Number : 978-256-5600
Fax Number : 978-703-0250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/24/2015

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Directions to “ BRUCE WILLIAM BUNKER O.D.” Practice Location

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