Individual provider Active NPI

Richard S. Bruce, RDO ABOC

  • Optician
  • Framingham, MA
National Provider Identifier
1548460496
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1603 Issued in MA
Practice address
181 Concord St
Framingham, MA 01702-8305
Phone
(508) 875-0450
Fax
(508) 875-0686
NPI assigned
Jul 19, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1603 MA Primary

Addresses

Primary practice location

181 Concord St
Framingham, MA 01702-8305

Mailing address

181 Concord St
P.O. Box 270
Framingham, MA 01702-8305
Phone (508) 875-0450

Other identifiers 1

IdentifierTypeStateIssuer
0371190MedicaidMA

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

State licenses

LicenseStateTypeSpecialty
1603MAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1548460496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CONCORD ST",
            "address_2": "P.O. BOX 270",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028305",
            "telephone_number": "508-875-0450",
            "fax_number": "508-875-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CONCORD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028305",
            "telephone_number": "508-875-0450",
            "fax_number": "508-875-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "credential": "RDO ABOC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.