DR. BRUCE MICLEY


Address: 495 Westgate Dr, Brockton, MA 02301-1833
Phone: 5085832011

DR. BRUCE MICLEY (NPI# 1689775710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689775710
Entity Type Individual
Full Name DR. BRUCE MICLEY
Credential OD
Practice Address 495 Westgate Dr
Brockton
MA 02301-1833
Practice Telephone 5085832011
Practice Fax Number 5085865382
Mailing Telephone 5085832011
Mailing Fax Number 5085865382
Enumeration Date 2006-09-25
Last Update Date 2008-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3174 MA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA HARVARD PILGRIM 150703 01
MA BLUE CROSS W15693 01
MA 0353574 05

Office Location

Street Address 495 WESTGATE DR
City BROCKTON
State MA
Zip Code 02301-1833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558545533 Vision Services Eyewear Supplier (Equipment, not the service) 495 Westgate Dr, Brockton, MA 02301-1833 2007-12-26
1679639926 Robert L King Technician/Technologist 495 Westgate Dr, Suite 1, Brockton, MA 02301-1833 2006-12-29

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1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952423915 James A Luccio and Associates Inc Optometrist 516 Westgate Dr, Brockton, MA 02301-1816 2007-04-03
1780724187 Robert Peter Kupsc Optometrist 21 Torrey St Ste 10, Brockton, MA 02301-4849 2007-02-07
1427126879 Claire A Bergus Optometrist 21 Torrey St, Brockton, MA 02301-4849 2006-12-02
1790853141 Claire A Bergus Optometrist 21 Torrey Street, Brockton, MA 02301 2006-12-02
1629027941 Optometric Providers Inc Optometrist 726 1/2 Belmont St, Brockton, MA 02301 2006-05-06
1427029875 William L Olson Optometrist 13 West Street, Brockton, MA 02301-3166 2006-02-01
1225653173 Bryanna Morgan Caron Optometrist 940 Belmont St, Brockton, MA 02301-5596 2020-06-16
1649837568 Jared Koga Optometrist 940 Belmont St, Brockton, MA 02301-5596 2019-05-27
1649798620 Michael Cianca Optometrist 63 Main St, Brockton, MA 02301 2017-08-30
1346760436 Stephen Hebert Wise Optometrist 940 Belmont St, Brockton, MA 02301-5596 2017-06-21
Find all providers in BROCKTON

Competitor

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City BROCKTON
Zip Code 02301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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