BRUCE W. ANDERSON


Address: 719 W Fletcher Ave, Tampa, FL 33612-3422
Phone: 8139612020

BRUCE W. ANDERSON (NPI# 1639192388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639192388
Entity Type Individual
Full Name BRUCE W. ANDERSON
Credential OD
Practice Address 719 W Fletcher Ave
Tampa
FL 33612-3422
Practice Telephone 8139612020
Practice Fax Number 8139614105
Mailing Telephone 8139612020
Mailing Fax Number 8139614105
Enumeration Date 2006-07-25
Last Update Date 2013-03-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist OPC1520 FL Eye and Vision Services Providers
Y 207W00000X Ophthalmology OPC1520 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS BLUE SHIELD 19029 01
FL 078170300 05

Other Providers BRUCE ANDERSON

NPI Name Taxonomy Address Enumeration
1124663067 Bruce William Anderson Dentist 2725 Fox Farm Rd, Worthington, MN 56187-3040 2019-11-14
1649464207 Bruce Nelson Anderson Dentist 16 Highland Rd, Wareham, MA 02571-1409 2007-08-28
1235275827 Bruce G Anderson Psychologist 200 East St, Lycoming Clinton Joinder Board, Williamsport, PA 17701 2007-01-30
1083710404 Bruce Woodruff Anderson Dentist 2310 E Oakland Ave Ste 13a, Bloomington, IL 61701-5884 2006-09-15
1104938281 Bruce Anthony Anderson Optometrist 6400 O St, Lincoln, NE 68510-2351 2006-08-31
1497783955 Bruce John Anderson Family Medicine 2724 Isle Royale Ct, Burnsville, MN 55337-3424 2006-06-30
1083611743 Bruce Robin Anderson Chiropractor 508 E 32nd St, Joplin, MO 64804-3902 2005-07-07
1386049211 Bruce Anderson Nurse Practitioner 500 Campus Dr, Hancock, MI 49930-1452 2014-11-04
1083950612 Bruce Anderson Physical Therapist 9000 E Nichols Ave, 9000 E. Nichols Ave, Centennial, CO 80112-3475 2012-12-31
1447564745 Bruce Ray Anderson Psychologist 415 S West St, Suite 150, Royal Oak, MI 48067-2521 2010-07-29

Office Location

Street Address 719 W FLETCHER AVE
City TAMPA
State FL
Zip Code 33612-3422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558711895 Richard Von Weisenberger Optometrist 719 W Fletcher Ave, Tampa, FL 33612-3422 2016-06-17
1598968869 Bruce W Anderson, P.a. Optometrist 719 W Fletcher Ave, Tampa, FL 33612-3422 2007-06-06
1548300742 William O Malone Jr. Optometrist 719 W Fletcher Ave, Tampa, FL 33612-3422 2007-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286767 Daniel Jimenez Physical Therapist 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 2020-08-19
1700426830 Taz Stacy Behavior Technician 2701 University Square Drive, Tampa, FL 33612 2020-01-07
1841853215 Eric Austen Keeler Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 2019-04-20
1346700242 Caitlyn Victoria Cartwright Student in an Organized Health Care Education/Training Program 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 2019-03-25
1720552953 Marijo Bilitski Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 2019-01-22
1790259190 Belkis Aleman Nurse Practitioner 205 E Busch Blvd, Tampa, FL 33612 2019-01-18
1811469133 Stephanie Stegner Physician Assistant 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 2018-12-27
1053889857 Alysia Heather Siegel Psychologist 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 2018-11-09
1295202489 Daisy Baby Pulinilkumkalayil Nurse Practitioner 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 2018-10-26
1649745258 Rachel Rene Shelton Specialist/Technologist Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 2018-10-10
Find all providers in zip 33612

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346630274 Geoffrey M Kwitko Md Ophthalmology 311 S Macdill Ave, Tampa, FL 33609-3141 2015-01-30
1619249364 Maurice Issa Youakim Ophthalmology 10505 Lacera Dr, Tampa, FL 33618-4009 2012-01-27
1033375936 Jennifer S Landy Md Pl Ophthalmology 2835 W Deleon St, Suite 206, Tampa, FL 33609 2008-07-31
1366603938 David Albert Johnson Ophthalmology 3225 S Macdill Ave, Suite 129-258, Tampa, FL 33629-8171 2008-06-17
1235311523 Bradley D Fouraker Md LLC Ophthalmology 4905 W Bay Way Pl, Tampa, FL 33629-4833 2007-11-29
1003013665 E. George Rosanelli, Jr, Md, Pa Ophthalmology 2129 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6511 2007-06-28
1346458601 Melvin Jeffrey White Ophthalmology 3103 W Dunwoodie St, Tampa, FL 33629-5211 2007-05-18
1033294012 Carlos Alberto Solorzano Ophthalmology 3233 W Columbus Dr, Tampa, FL 33607-1852 2006-10-26
1316028335 Marc C. Peden Ophthalmology 602 S Macdill Ave, Tampa, FL 33609-4614 2006-10-17
1548355290 Steven L. Maskin, M.d., P.a. Ophthalmology 3001 W Swann Ave, Tampa, FL 33609-4022 2006-10-04
Find all providers in TAMPA

Competitor

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City TAMPA
Zip Code 33612

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Dataset Information

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.

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