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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD | 19029 | 01 |
FL | 078170300 | 05 |
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 |
Street Address |
719 W FLETCHER AVE |
City | TAMPA |
State | FL |
Zip Code | 33612-3422 |
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 |
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 Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
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. |
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 |
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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.