Dr. Ivan Bruce Bank
Optomitrist - Corneal and Contact Lenses
8611 Hillcrest Ave Ste. 140
Dallas
, Texas 75225-4207
Dr. Ivan Bruce Bank
Optomitrist - Corneal and Contact Lenses
8611 Hillcrest Ave Ste. 140
Dallas
, Texas 75225-4207
(214) 739-8612
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Ivan Bruce Bank
- 8611 Hillcrest Ave Ste. 140
- Dallas, TX
- Zip : 75225-4207
- Fax : (214) 739-8612
- Phone : (214) 739-8611
Second Address
- Dr. Ivan Bruce Bank
- 8611 Hillcrest Ave Ste. 140
- Dallas, TX
- Zip : 75225-4207
- Fax : (214) 739-8612
- Phone : (214) 739-8611
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 03313TG | TX |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 930-108T | LA |
National Provider Identifier
| NPI | 1194706861 |
|---|---|
| Provider Name | Dr. Ivan Bruce Bank |
| First Address | Dallas, TX 75225-4207 |
| Second Address | Dallas, TX 75225-4207 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2005 |
| Last Update Date | 10/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2264B | BLUE CROSS BLUE SHIELD (01) | LA |
| 721030686BA | HUMANA (01) | LA |
| 83020 | COVENTRY HEALTHCARE (01) | LA |
| T19453 | (02) | LA |
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.