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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRUCE IRVIN HYATT, OD

Deactivated Sole Proprietor

DR. BRUCE IRVIN HYATT, OD is a Corneal & Contact Management Optometrist healthcare provider located in BALTIMORE, Maryland. NPI 1649231101 is deactivated in the NPPES registry. Verify at CMS.

Corneal & Contact Management Optometrist · BALTIMORE, MD

This NPI has been deactivated. The record was deactivated on December 17, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1649231101
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2006 (1.7131147540984 yrs)
Last Updated
Nov 18, 2011
Deactivated
Dec 17, 2007
Licenses
TAO749 (MD)
TAO749 (MD)
TAO749 (MD)
TAO749 (MD)
TAO749 (MD)
Sole Proprietor
Yes

Practice Information

Address
409 W COLD SPRING LANE
BALTIMORE, MD, 212102845
Browse MD providers · Browse ZIP 21210
Phone
4102438884
Fax
4102435656
Primary Specialty
Corneal & Contact Management Optometrist
152WC0802X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Sports Vision Optometrist
Additional Specialty
Vision Therapy Optometrist

Other Corneal & Contact Management Optometrist Providers in BALTIMORE, MD

Name Credential NPI
DR. STEVEN LEE PINSON O.D., PA 1518941269
DR. KIEN LE LAM O.D. 1699835926
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.