BRUCE W PIERSON; NPI #1609033026

Contact Information

BRUCE W PIERSON

130 PICKERING ST
BROOKVILLE, PA 15825-0804

Phone: 814-849-4602
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BRUCE W PIERSON

NPI # 1609033026

LBN Legal business name BRUCE W PIERSON

Authorized official BRUCE PIERSON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/22/2008

Last updated 05/22/2008 - About 18 years ago

Identifiers

PA	License #	OEG000043
PA	Medicaid	0010041200001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRUCE W PIERSON

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BRUCE W PIERSON

Reviews for BRUCE W PIERSON