Bruce John Spera, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6357-T Issued in CA

Practice address

2296 Galleria at Tyler
Riverside, CA 92503-4144

Phone

(951) 689-4500

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Dr Bruce J Spera Optometrist a Professional Corporation

  • Optometrist
  • Riverside, CA
  • NPI 1750453221
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316045164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 GALLERIA AT TYLER",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034144",
            "telephone_number": "951-689-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 GALLERIA AT TYLER",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034144",
            "telephone_number": "951-689-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERA",
        "first_name": "BRUCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6357-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE#",
            "identifier": "6357-T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqlyn Spencer, MS
• Krysten Spencer, NP
• Letitia Spencer, MD
• Serena Spencer
• T'Erah Spencer, NONE
• Timothy Scott Spicer, PSY.D.
• Jane Lorei Spickelmier, PT
• Corey Lynn Spight
• Cassandra Spinks-Gilbert, LPCC
• Kyle Hunter Sponseller

• Optometrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Optometrist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.