DR. Bruce M. Portnoy, O.D.

NPI #1104835362 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1104835362
Entity Type: Individual
Name: DR. Bruce M. Portnoy, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1133 MCHENRY RD
Address 2: ST.108
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-1369
Phone: (847) 478-9091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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