Bruce W Hamerl O D P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-847 Issued in ID

Legal business name

BRUCE W HAMERL O D P C

Practice address

8300 W Overland Rd
Boise, ID 83709-1639

Phone

(208) 321-9082

Fax

(208) 321-9179

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Hamerl, O.D.NPI 1114026606

Title

President

Phone

(208) 321-9082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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

• Bruce Hamerl, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1114026606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1801001979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 S COLERIDGE PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065584",
            "telephone_number": "208-321-9082",
            "fax_number": "208-321-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091639",
            "telephone_number": "208-321-9082",
            "fax_number": "208-321-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE W HAMERL O D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "HAMERL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-321-9082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynne Brownsmith, PHD
• Gwen Broyles, RPH
• Brooke Brubaker, BS
• Bruce D.M.D. and Ririe D.D.S., P.a.
• Bruce J Andersen MD PHD PA
• Daniel Bruce, D.D.S.
• Isabel Burns Bruce, BSN-RN
• Jessica Bruce
• Jessica Bruce, LMSW
• John M Bruce III, DMD

• Optometrist in Boise, ID
• Providers in Boise, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.