Individual
DR. BRUCE ALLEN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
124 16TH ST NE, FAYETTE, AL 35555-1340
(205) 932-5286
(205) 932-8577
Mailing address
124 16TH ST NE, FAYETTE, AL 35555-1340
(205) 932-5286
(205) 932-8577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S449TA072
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008600530
—
AL
Enumeration date
10/12/2005
Last updated
07/31/2012
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