Charles E. Bruce, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

T03376 Issued in MO

Practice address

901 E 3Rd St
Washington, MO 63090-3010

Phone

(636) 390-3999

Fax

(636) 390-3959

NPI assigned

Aug 19, 2005

Last updated

Feb 25, 2008By the provider in NPPES

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 MO

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

University of Missouri St Louis - School of Optometry, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Success Vision Eyecare of Maplewood LLCGroup PAC ID 8527424084, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Success Vision Eyecare of Maplewood LLC

  dba Success Vision Eyecare of Maplewood

  • Optometrist
  • Saint Louis, MO
  • NPI 1497441265
  Medicare reassignment Care Compare group NPD
• Success Vision Eyecare of Cape, LLC

  dba Success Vision Eyecare of Cape

  • Optometrist
  • Cape Girardeau, MO
  • NPI 1417428509
  Medicare reassignment NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1609868140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 3RD ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903010",
            "telephone_number": "636-390-3999",
            "fax_number": "636-390-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 3RD ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903010",
            "telephone_number": "636-390-3999",
            "fax_number": "636-390-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "T03376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318906229",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Eileen Brinker, RN
• Jessica Kathleen Brinkmeyer, PHARMD
• Bristol Care, Inc.
• Jeffrey Richard Brown, D.O.
• Brown's Enterprises, Inc.
• Alicia Brueggemann, OT
• Stephen A Brunjes, OTR/L
• David Brunworth, MD
• Jessica Alanna Scully Brunworth, D.D.S., M.S.
• Martin Winter Brunworth, DDS

• Corneal and Contact Management Optometrist in Washington, MO
• Providers in Washington, MO by specialty
• Corneal and Contact Management Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.