Jean Ann Bruch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000647 Issued in PA

Practice address

647 S R 93
Valley Plaza Ste 7
Conyngham, PA 18219-0752

Phone

(570) 788-4133

Fax

(570) 788-2876

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruch Eye Care Associates

  • Durable Medical Equipment & Medical Supplies
  • Conyngham, PA
  • NPI 1316002934
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043220130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 S R 93 VALLEY PLAZA",
            "address_2": "P O BOX 752",
            "city": "CONYNGHAM",
            "state": "PA",
            "postal_code": "182190752",
            "telephone_number": "570-788-4133",
            "fax_number": "570-788-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 S R 93",
            "address_2": "VALLEY PLAZA STE 7",
            "city": "CONYNGHAM",
            "state": "PA",
            "postal_code": "182190752",
            "telephone_number": "570-788-4133",
            "fax_number": "570-788-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCH",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Thomas Bellucci, ED.D.
• Bruch Eye Care Associates
• Kim R Buglio
• Ryan Michael Diana, D.C.
• Tricia Michael Eyerly, D.C.
• Christina G Falvello, PA-C,ATC
• Richard Grovich, DMD

• Optometrist in Conyngham, PA
• Providers in Conyngham, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.