Bruce Allen Felix, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE008112T Issued in PA

Practice address

300 Wal-Mart Drive
The Vision Center
Ebensburg, PA 15931

Phone

(814) 471-0591

Fax

(814) 471-0593

NPI assigned

Sep 19, 2006

Sex

Male

Sole proprietor

Yes

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 SC

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

Pennsylvania College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergelt Optometric LLCGroup PAC ID 5092007666, 15 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.

• Bergelt Optometric LLC

  • Optometrist
  • Florence, SC
  • NPI 1386002467
  Medicare reassignment Care Compare group NPD
• Bruce a. Felix, O.D., P.C.

  • Clinic/Center
  • Ebensburg, PA
  • NPI 1265242952
  NPD Authorized official

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1811094352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MARTHA STREET",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "15931",
            "telephone_number": "814-472-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WAL-MART DRIVE",
            "address_2": "THE VISION CENTER",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "15931",
            "telephone_number": "814-471-0591",
            "fax_number": "814-471-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE008112T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "40650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE ID",
            "identifier": "01787177",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "4146",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric V. Hicks, DMD, PC
• Karen Ann Ervin
• Jacqueline Marie Evans, RN
• Family Behavioral Resources, Inc.
• Nichole E Feaster
• Morgan Lynne Fenchak
• Kimberly Ann Fetchko, OT
• Samantha Janeen Fisher
• Sarah Flick, CNM WHNP
• Frank a Rezk

• Optometrist in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.