Bruce Stephen Boliek
Ophthalmologist
3320 Executive Dr Suite 111
Raleigh
, North Carolina 27609-7445
Bruce Stephen Boliek
Ophthalmologist
3320 Executive Dr Suite 111
Raleigh
, North Carolina 27609-7445
(919) 790-8423
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Bruce Stephen Boliek
- 3320 Executive Dr Suite 111
- Raleigh, NC
- Zip : 27609-7445
- Fax : (919) 790-8423
- Phone : (919) 876-2427
Second Address
- Bruce Stephen Boliek
- 3320 Executive Dr Suite 111
- Raleigh, NC
- Zip : 27609-7445
- Fax : (919) 790-8423
- Phone : (919) 876-2427
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 95-01181 | NC |
National Provider Identifier
| NPI | 1033160817 |
|---|---|
| Provider Name | Bruce Stephen Boliek |
| First Address | Raleigh, NC 27609-7445 |
| Second Address | Raleigh, NC 27609-7445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2006 |
| Last Update Date | 14/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 89-1028R | (05) | NC |
| F51426 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.