Scott Francis Bruneau
Optometrist
1100 E Riverview Expy
Wisconsin Rapids
, Wisconsin 54494-5483
Scott Francis Bruneau
Optometrist
1100 E Riverview Expy
Wisconsin Rapids
, Wisconsin 54494-5483
(715) 423-1444
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Scott Francis Bruneau
- 1100 E Riverview Expy
- Wisconsin Rapids, WI
- Zip : 54494-5483
- Fax : (715) 423-1444
- Phone : (715) 423-1340
Second Address
- Scott Francis Bruneau
- 1100 E Riverview Expy
- Wisconsin Rapids, WI
- Zip : 54494-5483
- Fax : (715) 423-1444
- Phone : (715) 423-1340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2719-035 | WI |
National Provider Identifier
| NPI | 1003868621 |
|---|---|
| Provider Name | Scott Francis Bruneau |
| First Address | Wisconsin Rapids, WI 54494-5483 |
| Second Address | Wisconsin Rapids, WI 54494-5483 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 38606200 | (05) | WV |
| U73055 | (02) | WI |
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.