Leo a. Bruce

Primary specialty

OptometristTaxonomy code 152W00000X

License

24211 Issued in MO

Legal business name

LEO A. BRUCE

Practice address

808 E Wakefield Ave
Sikeston, MO 63801-5147

Phone

(573) 471-3358

NPI assigned

Jan 14, 2008

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leo A. Bruce, M.D.

Title

Owner

Phone

(573) 471-3358

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1841476348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E WAKEFIELD AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015147",
            "telephone_number": "573-471-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E WAKEFIELD AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015147",
            "telephone_number": "573-471-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO A. BRUCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-471-3358",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "24211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Leible, D.M.D.
• Terri Palmer Leible, LPC
• Nancy Lemmons, LCSW
• Stephanie N. Lemmons, MSW, LMSW
• Rebecca Throop Lenderman, C-NP
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• Optometrist in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.