Ron J Bruckenstein, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV5632 Issued in NY

Practice address

420 Sutter Ave
Brooklyn, NY 11207

Phone

(718) 353-7759

NPI assigned

Jun 30, 2008

Last updated

Oct 18, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1922260009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-353-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKENSTEIN",
        "first_name": "RON",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharan Bruce, M.S., CCC-SLP
• Tina Lynn Bruce, LPN
• Menucha Bruchstat, M.S.
• Abraham Bruck
• Irving Bruck, DDS
• Ruchoma Bruckenstein
• Chaim Bruckman
• Lawrence J Bruckner, DDS
• Lea Bruder, LCSW
• Yana Brudny, M.S.

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.