Eliahu Bruck (NPI# 1992743678, PAC ID# 5597878371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1992743678 |
| PAC ID by PECOS | 5597878371 |
| Professional Enrollment ID | I20120405000249 |
| Full Name | Eliahu Bruck |
| Organization Legal Name | DRS. BLUM AND BRUCK, O.D. P.A. |
| Address |
2963 Manchester Rd Suite B Manchester MD 21102-1853 |
| Phone Number | 4102396700 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1983 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9638299415 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2963 Manchester Rd, Suite B, Manchester, MD 21102-1853 | 4102396700 | DRS. BLUM AND BRUCK, O.D. P.A. |
| Organization Legal Name | DRS. BLUM AND BRUCK, O.D. P.A. |
| Physicians | 1 |
| Street Address |
2963 MANCHESTER RD SUITE B |
| City | MANCHESTER |
| State | MD |
| Zip | 21102-1853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Aybar | Podiatry | 2963 Manchester Rd, Suite D, Manchester, MD 21102-1853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Herbert Paul Henderson Jr. | Family Medicine | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| William Keys | Neurology | 2975 Manchester Rd, A, Manchester, MD 21102-1802 | |
| Teresa Anne Hanyok | Family Medicine | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Joan M Lusby | Physician Assistant | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Kimberly L Davis | Nurse Practitioner | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Dixie Lee Colgan | Nurse Practitioner | 3000 Manchester Rd, Suite 5, Manchester, MD 21102-1850 |
| City | MANCHESTER |
| Zip Code | 21102 |
| Specialty | OPTOMETRY |
| City + Specialty | MANCHESTER + OPTOMETRY |
Please comment or provide details below to improve the information on Eliahu Bruck.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.