Doctor Name: | DAVID BRUCE CAMERON |
NPI Number: | 1043452626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 007413 |
Business Practice Address: | 793 Rt. 50 Burnt Hills, NY - 120270209 |
Business Phone Number: | 5183996130 |
Business Fax Number: | 5183994604 |
Mailing Address: | Po Box 209, BURNT HILLS |
State: | NY |
Postal Code: | 120270209 |
Phone Number: | 5183996130 |
Fax Number: | 5183994604 |
NPI Enumeration Date: | 03/30/2009 |
NPI Last Update Date: | 03/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 007413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |