Oculus Health Management

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1905 Issued in FL

Legal business name

OCULUS HEALTH MANAGEMENT

Practice address

2602 Jim Redman Pkwy
Plant City, FL 33566-9460

Phone

(863) 608-5330

Fax

(813) 754-4432

NPI assigned

Jun 28, 2016

Last updated

Jun 28, 2016By 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. Roy Bruce, ODNPI 1932192010

Title

Optometrist

Phone

(863) 608-5330

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Roy Webster Bruce Jr., O.D.

  • Optometrist
  • Plant City, FL
  • NPI 1932192010
  Authorized official Same address or phone

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1306297650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 JIM REDMAN PKWY",
            "address_2": "#117",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335636914",
            "telephone_number": "813-752-5838",
            "fax_number": "813-754-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 JIM REDMAN PKWY",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335669460",
            "telephone_number": "863-608-5330",
            "fax_number": "813-754-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "863-608-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078599700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Plant City, FL
• Providers in Plant City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.