National Provider Identifier

Brian Eugene Bleiler, OD

Brian Eugene Bleiler, OD is listed in the NPPES registry with a primary specialty of Optometrist in Watkins Glen, NY and a listed phone number of (607) 535-4842.

NPI 1255327854Watkins Glen, NYOptometrist

Profile Overview

NPI
1255327854
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
September 20, 2005
Last Updated
January 25, 2012

Practice Location

  • 406 E 4Th St
  • Watkins Glen, NY 14891-1217

Phone: (607) 535-4842

Mailing Address

  • 207 Madison Ave
  • Elmira, NY 14901-3204

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1255327854
Entity Type
Individual
Last Name
Bleiler
First Name
Brian
Middle Name
Eugene
Credential
OD
Mailing Street Address
207 Madison Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3204
Mailing Country
US
Mailing Phone
(607) 734-2984
Mailing Fax
(607) 398-3411
Practice Street Address
406 E 4Th St
Practice City
Watkins Glen
Practice State
NY
Practice ZIP Code
14891-1217
Practice Country
US
Practice Phone
(607) 535-4842
Practice Fax
(607) 398-3413
Enumeration Date
September 20, 2005
Last Updated
January 25, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
410020897 (Rr Medicare)