Bruce William Faerber, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

021886 Issued in TN

Practice address

2175 Chambliss Ave NW
Ocoee Eye Center Ste B
Cleveland, TN 37311-3842

Phone

(423) 473-7200

Fax

(423) 473-7808

NPI assigned

Jul 24, 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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Missouri, Columbia School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.12 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

70.4

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Ocoee Eye Center, PLLC

  • Ophthalmology Physician
  • Cleveland, TN
  • NPI 1205159365
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1407878267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 CHAMBLISS AVE",
            "address_2": "STE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-473-7200",
            "fax_number": "423-473-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CHAMBLISS AVE NW",
            "address_2": "OCOEE EYE CENTER STE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113842",
            "telephone_number": "423-473-7200",
            "fax_number": "423-473-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAERBER",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "021886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074908",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynnze Taylor Ethridge, OTD, OTR/L
• Amber Kay Evans, NP-C
• Everside Health Milliken PTM
• Everwell Physical Therapy & Wellness, LLC
• Ez Home Access, LLC
• Julia Fahler, SLP
• Destynie Allexus Fairchild, BEHAVIOR TECHNICIAN
• Kristen M Faires
• Faith-Centered Christian Counseling
• Adam Fall, MD

• Ophthalmology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.