Bruce a Anderson

Primary specialty

OptometristTaxonomy code 152W00000X

License

967 Issued in NE

Legal business name

BRUCE A ANDERSON

Doing business as

Family Vision Clinic of Alliance

Practice address

1317 W 3Rd St
Alliance, NE 69301-3125

Phone

(308) 762-4056

Fax

(308) 762-4063

NPI assigned

Aug 15, 2007

Last updated

Jan 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce A Anderson, O.D.

Title

Owner

Phone

(308) 762-4056

Specialties & licenses 1

Addresses

Other names 1

• Family Vision Clinic of Alliance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Creston Marshall Myers, O.D.

  • Optometrist
  • Alliance, NE
  • NPI 1578509873
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1104018860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693010830",
            "telephone_number": "308-762-4056",
            "fax_number": "308-762-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W 3RD ST",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013125",
            "telephone_number": "308-762-4056",
            "fax_number": "308-762-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-762-4056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Clinic of Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon R. Wilcox, D.D.S., P.C.
• Margaret A Brittan
• Jerrie Brost
• Karen Sue Brown, PT
• Talisa Brown
• Katherine Brummer, OTD, OTR/L
• Sally Beth Bryner, MSN, PRN,FNP-BD,CLC
• Tami Bucy
• Elijah Budd, EMT-IV
• Cindy Lee Bunnell

• Optometrist in Alliance, NE
• Providers in Alliance, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.