Bruce Micley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3174 Issued in MA

Practice address

495 Westgate Dr
Brockton, MA 02301-1833

Phone

(508) 583-2011

Fax

(508) 586-5382

NPI assigned

Sep 25, 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 3

Medicare fee-for-service enrollment

Enrolled in MA

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

New England College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norwood Eye Care Specialists, LLCGroup PAC ID 5496145146, 7 clinicians

Eye Care Specialists PCGroup PAC ID 6002996725, 7 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 and National Provider Directory roles.

• Eye Care Specialists PC

  • Ophthalmology Physician
  • Norwood, MA
  • NPI 1871777565
  Medicare reassignment Care Compare group NPD
• Norwood Eye Care Specialists, LLC

  • Ophthalmology Physician
  • Norwood, MA
  • NPI 1942965421
  Medicare reassignment Care Compare group NPD
• Eye Care Specialists

  • Specialist
  • Norwood, MA
  • NPI 1881806537
  NPD (past)
• Suburban Eye Specialists PC

  • Ophthalmology Physician
  • Norwood, MA
  • NPI 1790958650
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1689775710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011833",
            "telephone_number": "508-583-2011",
            "fax_number": "508-586-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011833",
            "telephone_number": "508-583-2011",
            "fax_number": "508-586-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICLEY",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "W15693",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "150703",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353574",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael L. Shapiro, DMD,P.C.
• Michael S. Goldstein, MD
• Abigail Michaels
• Mackendy Michel
• Harold Michlewitz, M.D.
• Menardine Midy
• Tatiana Mihaita, CTRS
• Johnson C Miin, DDS, MSE
• Gary H Mikels, DMD
• Maikel Mikhail

• Optometrist in Brockton, MA
• Providers in Brockton, MA by specialty
• Optometrist in Massachusetts

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