National Provider Identifier Database

BRUCE LUNDIN, OD LLC – NPI #1750336152
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

BRUCE LUNDIN, OD LLC
1550 N MAIN ST
NORTH LOGAN, UT84341
Phone: 435-753-3906
Fax: 435-753-3918
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X

* Indicates primary specialty

NPI Profile & details for BRUCE LUNDIN

NPI Number 1750336152
Credentials OD LLC
Entity Individual
Enumeration date 05/23/2006
Last updated 06/11/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • NV License #: 726
  • NV License #: NV412
  • UT License #: 279166-9934
  • WA License #: 00003612
  • WA License #: 3612
  • NV Medicaid: 003116904
  • NV Medicaid: 004716904
  • UT Medicaid: 999000797009
  • UT Other: 000009105 MEDICARE STORE #6 PTAN
  • UT Other: 000004473 MEDICARE STORE #04 PTAN
Hospital affiliation n/a

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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