Bruce Caide Barbon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4665 Issued in FL

Practice address

2489 Diplomat Pkwy E
2C - Eye Clinic
Cape Coral, FL 33909-5422

Phone

(239) 652-1800

NPI assigned

Oct 3, 2011

Last updated

Sep 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1013291566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 CYPRESS LEGENDS CIR",
            "address_2": "APT 904",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055535",
            "telephone_number": "850-723-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 DIPLOMAT PKWY E",
            "address_2": "2C - EYE CLINIC",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095422",
            "telephone_number": "239-652-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBON",
        "first_name": "BRUCE",
        "middle_name": "CAIDE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002557",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4665",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Ban
• Pablo Rodrigo Banderas, P.A.
• Bridget Yasmin Barahona
• Jose Rodrigo Barahona, MD
• Luis Joaquin Barata Hidalgo, ARNP
• Frank James Barcells
• Yanelys Barcelo Darias, RBT
• Amanda Michele Bard, LCSW
• Gloria M. Bardsley, O.T.
• Christine E Bardy, PHD

• Optometrist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.