L Bruce Fosen OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 887 Issued in FL

Legal business name

L BRUCE FOSEN OD PA

Practice address

2535 SE 28TH St
Ocala, FL 34471-6273

Phone

(352) 208-0091

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lloyd Bruce Fosen, O D

Title

President

Phone

(352) 208-0091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hilda Ann McFall-Fialko

  • Optician
  • Crystal River, FL
  • NPI 1467647198
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1770764920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 SE 28TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716273",
            "telephone_number": "352-208-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 SE 28TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716273",
            "telephone_number": "352-208-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L BRUCE FOSEN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "FOSEN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-208-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078546600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Allen Kushner, MA
• Alexander Kushnir, MD
• Robert C. Kuykendall, M.D.
• Samantha Eileen Kwon, M.D.
• Ann-Marie Kydd
• L. McChesney, M.D. & Surgical Associates, PA
• La Familia Health Clinic, LLC
• La Familia Medical Clinic LLC
• La Plus Family Investment 2
• Jessica Lesyk Labagh, CCC SLP

• Optometrist in Ocala, FL
• Providers in Ocala, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.