MRS. MADALYNN DIANNE BRUCKNER (NPI# 1356792352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356792352 |
| Entity Type | Individual |
| Full Name | MRS. MADALYNN DIANNE BRUCKNER |
| Credential | O.D. |
| Practice Address |
506 Wabash Avenue Terre Haute IN 47807-3525 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 8122320073 |
| Practice Fax Number | 8122320074 |
| Mailing Telephone | 7038478899 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003979A | IN | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3347 S Us Highway 41, Terre Haute, IN 478023727 | 8122343937 |
| Street Address |
506 WABASH AVENUE |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47807-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150908 | Myeyedr Optometry of Indiana, LLC | Optometrist | 506 Wabash Avenue, Terre Haute, IN 47807-3525 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
| 1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
| 1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
| Find all providers in zip 47807 | ||||
| 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 |
|---|---|---|---|---|
| 1407220585 | Judy Cheng | Optometrist | 4440 S Us Highway 41 Ste 102, Terre Haute, IN 47802-4409 | 2015-11-30 |
| 1477965192 | Darla Heck Sacopulos PC | Optometrist | 4949 E Poplar Dr, Terre Haute, IN 47803-2434 | 2014-05-29 |
| 1669618005 | Don E. Auxier O.d. P.C. | Optometrist | 2147 Oakridge Pkwy N, Terre Haute, IN 47802-7812 | 2009-01-06 |
| 1649427535 | Smith Optometric Associates, Inc | Optometrist | 3401 S Us Highway 41, Terre Haute, IN 47802-4154 | 2008-08-21 |
| 1932308772 | Eyecare Express-terre Haute Inc. | Optometrist | 3347 S. U.S. Hwy 41, Terre Haute, IN 47802 | 2007-07-12 |
| 1073630950 | Kimberly Goergiann Bray | Optometrist | 3801 S Us Highway 41 Ste A-1, Terre Haute, IN 47802-4107 | 2007-03-23 |
| 1972640522 | James Steven Smith | Optometrist | 3401 S Hwy 41, Suite A1, Terre Haute, IN 47802 | 2007-01-31 |
| 1548376932 | Steven D Friday | Optometrist | 422 Poplar St, Terre Haute, IN 47807-4209 | 2006-08-21 |
| 1003921487 | Richard Lee Martin Jr. | Optometrist | 2399 State Road 46 South, Wal-mart Vision Center, Terre Haute, IN 47803 | 2006-08-19 |
| 1942212071 | Lisa Steward | Optometrist | 4684 S Us Highway 41, Terre Haute, IN 47802-5404 | 2006-08-13 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47807 |
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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.