Individual provider Active NPI

Heidi Ann Bruch, OD

  • Optometrist
  • Nazareth, PA
National Provider Identifier
1790248656
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEGOO3542 Issued in PA
Practice address
34 S Main St
Nazareth, PA 18064-2036
Phone
(610) 759-6515
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-003542 PA
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OEGOO3542 PA Primary

Addresses

Primary practice location

34 S Main St
Nazareth, PA 18064-2036

Mailing address

890 Hoch Rd
Danielsville, PA 18038-9606
Phone (610) 704-0807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20190814002679 PA Practitioner - Optometry 3678800588 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 S Main St
Nazareth, PA 18064-2036
Phone (610) 759-6515

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-003542PAMDOptometrist
OEGOO3542PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tony H. Sankari, O.D. Current Accepting new patients
Visionworks, Inc CurrentSince Aug 4, 2019 Accepting new patients
Bruch Family Eye Care Optometrist CurrentSince Jun 16, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Aug 4, 2019 Accepting new patients
Pollyanna Sparrow OD PC PastSince Jun 15, 2025 Accepting new patients

Locations

2030 W Tilghman St
Ste 101
Allentown, PA 18104
Phone (610) 432-3258

3560 Route 611
Ste 115
Bartonsville, PA 18321
Phone (570) 421-2785

107 Kinsley Dr
Ste 102
Brodheadsville, PA 18322
Phone (610) 681-6116

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

34 S Main St
Nazareth, PA 18064
Phone (610) 754-6515

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1790248656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 HOCH RD",
            "city": "DANIELSVILLE",
            "state": "PA",
            "postal_code": "180389606",
            "telephone_number": "610-704-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642036",
            "telephone_number": "610-759-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCH",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-003542",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEGOO3542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

Verify at the official NPI Registry.