JEAN ANN BRUCH (NPI# 1043220130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043220130 |
| Entity Type | Individual |
| Full Name | JEAN ANN BRUCH |
| Credential | OD |
| Practice Address |
647 S R 93 Valley Plaza Ste 7 Conyngham PA 18219-0752 |
| Mailing Address |
647 S R 93 Valley Plaza P O Box 752 Conyngham PA 18219-0752 |
| Practice Telephone | 5707884133 |
| Practice Fax Number | 5707882876 |
| Mailing Telephone | 5707884133 |
| Mailing Fax Number | 5707882876 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000647 | PA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766790 | Jean M. Bruch | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-10-31 |
| Street Address |
647 S R 93 VALLEY PLAZA STE 7 |
| City | CONYNGHAM |
| State | PA |
| Zip Code | 18219-0752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275880056 | Ryan Michael Diana | Chiropractor | 38 Lawson Place, Conyngham, PA 18219 | 2012-08-10 |
| 1982844056 | Joseph Thomas Bellucci | Counselor | 7 Hetler Drive, Conyngham, PA 18219 | 2009-03-02 |
| 1396969093 | Schuylkill Mall Dental | Dentist | Schuylkill Mall Dental, Route 61 At Interstate 81, Frackville, PA 18219 | 2007-04-12 |
| 1790825784 | Tricia Michael Eyerly | Chiropractor | Brookhill Center Rt 93, Suite 1, Conyngham, PA 18219 | 2007-02-07 |
| 1447366570 | Mary-jane Ward | Family Medicine | 642 Brookhill Sq South, Conyngham, PA 18219 | 2006-08-22 |
| 1295810711 | Howard M Folk | Pharmacist | 303 Main Street, Conyngham, PA 18219 | 2006-10-25 |
| 1700810215 | John Joseph Shalanski | Social Worker | 90 Benjamin Ave, Conyngham, PA 18219-0006 | 2006-07-10 |
| 1023438777 | Daniel Edwin Benyo | Internal Medicine | 314 Main Street, Suite C, Conyngham, PA 18219-0395 | 2014-04-21 |
| 1184777609 | Christina G Falvello | Physician Assistant | 54 West Benjamin Ave, Conyngham, PA 18219-0654 | 2007-01-19 |
| 1316002934 | Bruch Eye Care Associates | Durable Medical Equipment & Medical Supplies | Valley Plaza, Rt 93, Conyngham, PA 18219-0752 | 2006-12-26 |
| Find all providers in zip 18219 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1356940449 | Sunish Singh | Optometrist | 51 Indigo Rd, Levittown, PA 19057-2718 | 2020-10-20 |
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1528665049 | Melissa Ann Sy Rivera | Optometrist | 503 Bullock St, Conshohocken, PA 19428-2807 | 2020-10-07 |
| 1912504846 | National Vision Inc | Optometrist | 1025 Village Center Dr Ste 1, Tarentum, PA 15084-3840 | 2020-10-05 |
| 1649883265 | Iana Volodarsky | Optometrist | 950 Industrial Blvd Ste 3, Southampton, PA 18966-4070 | 2020-08-24 |
| 1023627031 | Monica Rose Theroux | Optometrist | 82 Mcclellandtown Rd, Uniontown, PA 15401-5522 | 2020-07-26 |
| 1316555949 | Robert L Naugle IIi | Optometrist | 130 Spruce Ct, Pittsburgh, PA 15229-2133 | 2020-07-20 |
| 1043828049 | Progressive Vision Institute of Allentown, PC | Optometrist | 6465 Village Ln Ste 10, Macungie, PA 18062-8474 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.