DR. BRUCE CHARLES WICK (NPI# 1710975412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710975412 |
| Entity Type | Individual |
| Full Name | DR. BRUCE CHARLES WICK |
| Credential | O.D., PH.D |
| Practice Address |
13615 Bellaire Blvd Houston TX 77083-1714 |
| Practice Telephone | 2819333446 |
| Practice Fax Number | 2819336865 |
| Mailing Telephone | 2819333446 |
| Mailing Fax Number | 2819336865 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
4042TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CIGNA GOV SERVICES NUMBER | 4743680001 | 01 |
| Street Address |
13615 BELLAIRE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77083-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425834 | Nicole Nhu Lan Pham | Optometrist | 13615 Bellaire Blvd, Houston, TX 77083-1714 | 2020-10-23 |
| 1407453020 | Valerie Le | Optometrist | 13615 Bellaire Blvd, Houston, TX 77083-1714 | 2020-10-06 |
| 1679977797 | Diem Phuong Ngoc Tran | Optometrist | 13615 Bellaire Blvd, Houston, TX 77083-1714 | 2014-10-17 |
| 1750694451 | Samuel Adedayo Adeseye | Optometrist | 13615 Bellaire Blvd, Houston, TX 77083-1714 | 2010-07-22 |
| 1063675239 | Megan K Stubinski | Optometrist | 13615 Bellaire Blvd, Houston, TX 77083-1714 | 2008-07-08 |
| 1366631582 | Bruce Wick Od Phd Pa | Optometrist | 13615 Bellaire Blvd, Houston, TX 77083-1714 | 2007-10-24 |
| 1235222639 | Christine Liu Shuchart | Optometrist | 13615 Bellaire Blvd, Houston, TX 77083-1714 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1225663495 | Hopeful Living Center | Psychologist | 9906 Kingsville Park Drive, Houston, TX 77083 | 2020-03-09 |
| 1053953851 | Dthealth, Pllc | Clinic/Center | 13218 Bellaire Blvd, Houston, TX 77083 | 2019-10-13 |
| 1659938413 | Bernadette Ebelechukwu Ekwutife | Registered Nurse | 9715 El Pico Drive, Sugar Land, TX 77083 | 2019-05-28 |
| 1356805089 | Paulant Health & Allied Services Inc. | Home Health | 7207 Crimson Sky Drive, Houston, TX 77083 | 2019-01-28 |
| 1457832537 | Elizabeth Nwakaego Nwosu | Registered Nurse | 4125 San Dimas Drive, Houston, TX 77083 | 2018-08-27 |
| 1003397423 | Chawntel Rene Walker-carter | Licensed Practical Nurse | 7514 San Dimas Sr, Houston, TX 77083 | 2018-08-23 |
| 1508343773 | Martin Nguyen | Dentist | 9203 S Texas Highway 6, Suite #114, Houston, TX 77083 | 2018-07-20 |
| 1477054930 | Joe Jacob | Registered Nurse | 8231 Sonesta Point Lane, Houston, TX 77083 | 2018-02-21 |
| 1730692393 | Martha Jaimes | Case Manager/Care Coordinator | 7515 Tremendo Dr, Houston, TX 77083 | 2017-11-06 |
| Find all providers in zip 77083 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316397474 | Texas Screening Associates | Optometrist | 3816 N Shepherd Dr, 10357, Houston, TX 77206-5001 | 2016-06-20 |
| 1649594250 | Id Vision Center Pllc | Optometrist | 17454 Northwest Fwy, Houston, TX 77040-1002 | 2010-03-25 |
| 1295903219 | James D. Winter & Associates, P.C. | Optometrist | 18333 Egret Bay Blvd Ste 101, Houston, TX 77058-3200 | 2008-02-12 |
| 1235222365 | Frank Sortin | Optometrist | 4899 Griggs Rd, Suite A, Houston, TX 77021-2846 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992274278 | Dorian David Acosta | Optometrist | 4450 E Sam Houston Pkwy S Ste E, Pasadena, TX 77505-3950 | 2018-11-16 |
| 1013363993 | Edwin Jusino | Optometrist | 5346 Hwy. 83 Ste. 1, Rio Grande City, TX 78582 | 2016-05-10 |
| 1619395894 | Nielsen Vision Development Center, LLC | Optometrist | 17460 Interstate 35 N, Ste. 412, Schertz, TX 78154-1243 | 2014-04-03 |
| 1679869077 | Southeast Texas Optical, LLC | Optometrist | 6420 Eastex Fwy, Ste B, Beaumont, TX 77708-4338 | 2011-06-23 |
| 1003014556 | Briana Michelle Larson | Optometrist | 10601 Pecan Park Boulevard, Suite 201, Austin, TX 78750-1206 | 2007-07-06 |
| 1114040342 | Alan Ray Rising Sr. | Optometrist | 6420b Eastex Fwy, Beaumont, TX 77708-4321 | 2007-04-10 |
| 1407976780 | Crystal Vision Center PC | Optometrist | 2551b Texas Ave South, College Station, TX 77840-4629 | 2007-03-30 |
| 1477655751 | James F Citek | Optometrist | 1818 N Velasco St, Angleton, TX 77515-3015 | 2006-09-05 |
| 1386626430 | Kristi Renee Washburn | Optometrist | 1520 S Broadway St, Sulphur Springs, TX 75482-4922 | 2005-11-15 |
| 1518954510 | O A Watson Jr. | Optometrist | 121 W San Antonio St, San Marcos, TX 78666-5551 | 2005-10-04 |
| 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.