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Contact Information

CHARLES E BRUCE, OD
901 E 3RD ST
WASHINGTON, MO63090-3010
 Phone: 636-390-3999
 Fax: 636-390-3959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHARLES E BRUCE · (Male)

NPI Number 1609868140
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/19/2005
Last updated 02/25/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # T03376
  • MO Medicaid 318906229
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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