Active NPI
Bruce Eye Clinic, Inc
- Optometrist
- Bruce, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 577
- Legal business name
- BRUCE EYE CLINIC, INC
- Practice address
- 208 W. Calhoun St
Bruce, MS 38915-0988 - Phone
- (662) 983-2323
- Fax
- (662) 983-4126
- NPI assigned
- Jun 22, 2007
- Last updated
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Edward Brown, OD
- Title
- Owner
- Phone
- (662) 983-2323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 577 | MS | |
| Optometrist | 152W00000X | 577 | MS | Primary |
Addresses
Primary practice location
208 W. Calhoun St
Bruce, MS 38915-0988
Mailing address
PO Box 988
Bruce, MS 38915-0988
Phone (662) 983-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2066999 | Bruce Eye Clinic, Inc | Certificate of waiver | Oct 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Bruce, MS
- NPI 1447364005
-
- Optometrist
- Bruce, MS
- NPI 1750804704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1447456876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 988",
"city": "BRUCE",
"state": "MS",
"postal_code": "389150988",
"telephone_number": "662-983-2323",
"fax_number": "662-983-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W. CALHOUN ST",
"city": "BRUCE",
"state": "MS",
"postal_code": "389150988",
"telephone_number": "662-983-2323",
"fax_number": "662-983-4126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE EYE CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-22",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-983-2323",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MS",
"license": "577",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bruce, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.