Bruce D George, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7696T Issued in CA

Practice address

931 Anza Ave Ste B
Vista, CA 92084-4531

Phone

(760) 758-2340

NPI assigned

Nov 16, 2006

Last updated

Nov 30, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George Optometric CorpGroup PAC ID 3072925551, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• George Optometric Corp

  • Optometrist
  • Vista, CA
  • NPI 1669086211
  Medicare reassignment Care Compare group Authorized official
• Foster and Garff Surgical Associates Inc

  dba Davies Eye Center

  • Ophthalmologic Surgery Clinic/Center
  • Oceanside, CA
  • NPI 1700664844
  NPD (past)
• Gary L Barnes OD Optometric Corporation

  • Preferred Provider Organization
  • Vista, CA
  • NPI 1255500757
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1356414551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 ANZA AVE STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844531",
            "telephone_number": "760-758-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 ANZA AVE STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844531",
            "telephone_number": "760-758-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "BRUCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7696T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Gentile, NAVY IDC
• Iselda Gentry, FNP-BC
• George Optometric Corp
• George R Braithwaite
• Bijil George
• Jina Ann George, R.D.,
• Kendall Scott George, OD
• Sarah Rochelle Salazar Gervacio Rivera, APCC
• Gestring Chiropractic Corporation
• Jason Gestring, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.