Bruce George Barry Valid NPI

Individual provider · Optician · Stoughton, WI

NPI

1407908254

Type

Individual (Type 1)

Primary specialty

Optician (Technician/Technologist)

Specialty group

Eye and Vision Services Providers

Taxonomy code

156FX1800X

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-18

Last updated

2007-07-08