NPI | 1578546545 |
---|---|
Professional Name | E BRUCE DIDONATO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 0A04122) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ TO 00027) |
332H00000X Eyewear Supplier (Equipment, not the service) | |
156F00000X Technician/Technologist (Licence: NJ 27TO00002700) | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2012-09-18 |