Carson Matthew Bruner

Optometrist · Coldwater, OH

Individual Active NPI

NPI number 1063107183

Practice location

201 S 2ND St
Coldwater, OH 45828-1747
Phone
(937) 417-4581

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NPI record

NPI
1063107183
Entity type
Individual (Type 1)
Enumeration date
April 5, 2023
Last updated
July 17, 2023
Certified
July 17, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 7159 OH
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

6050 Anna M Ave
Greenville, OH 45331-9609
Phone
(937) 417-4581

About Carson Bruner

Carson Matthew Bruner is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 201 S 2ND St, Coldwater, OH 45828-1747. The NPI number 1063107183 was assigned on April 5, 2023 and the record was last updated on July 17, 2023.

Carson Bruner lists a license in the registry: #7159 (OH) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carson Matthew Bruner?

The NPI number is 1063107183.

What is the phone number of Carson Bruner?

The phone number listed for the practice location is (937) 417-4581.

Where is Carson Bruner located?

201 S 2ND St, Coldwater, OH 45828-1747.

What is the taxonomy code for Carson Bruner?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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