Active NPI
Pondjulee Bruch, LDO, AAS, ABOC, NCLE
- Optician
- Ocala, FL
National Provider Identifier
1376422626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO7380
- Practice address
- 4980 E Silver Springs Blvd
Ocala, FL 34470-3268 - Phone
- (352) 236-1611
- Fax
- (352) 236-2378
- NPI assigned
- Aug 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO7380 | FL | Primary |
Addresses
Primary practice location
4980 E Silver Springs Blvd
Ocala, FL 34470-3268
Mailing address
6420 SE 42ND CT
Ocala, FL 34480-7757
Phone (484) 560-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Associate of Applied Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO7380 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756512000000",
"number": "1376422626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 SE 42ND CT",
"city": "OCALA",
"state": "FL",
"postal_code": "344807757",
"telephone_number": "484-560-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4980 E SILVER SPRINGS BLVD",
"city": "OCALA",
"state": "FL",
"postal_code": "344703268",
"telephone_number": "352-236-1611",
"fax_number": "352-236-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCH",
"first_name": "PONDJULEE",
"credential": "LDO, AAS, ABOC, NCLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-30",
"last_updated": "2025-08-30",
"certification_date": "2025-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO7380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.