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Individual
DR. BRUCE IRVIN HYATT
Active
Individual
DR. BRUCE IRVIN HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TAO749
MD
152WL0500X
Low Vision Rehabilitation Optometrist
TAO749
MD
152WP0200X
Pediatric Optometrist
TAO749
MD
152WS0006X
Sports Vision Optometrist
TAO749
MD
152WV0400X
Vision Therapy Optometrist
TAO749
MD
152WX0102X
Occupational Vision Optometrist
TAO749
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158700500
—
MD
Enumeration date
03/31/2006
Last updated
11/18/2011
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