Individual
DR. BRUCE WILLIAM PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
130 PICKERING STREET, BROOKVILLE, PA 15825-1242
(814) 849-4602
(814) 849-3633
Mailing address
130 PICKERING STREET, BROOKVILLE, PA 15825-1242
(814) 849-4602
(814) 849-3633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000043
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010041200001
—
PA
Enumeration date
06/15/2005
Last updated
09/10/2012
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