Bruce Caperton (NPI# 1346211182, PAC ID# 9638228141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1346211182 |
| PAC ID by PECOS | 9638228141 |
| Professional Enrollment ID | I20090512000436 |
| Full Name | Bruce Caperton |
| Organization Legal Name | GATEWAY VISION INC |
| Address |
447 Atlantic Blvd Suite 1 Atlantic Beach FL 32233-4050 |
| Phone Number | 9042470211 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1986 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8022029222 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 447 Atlantic Blvd, Suite 1, Atlantic Beach, FL 32233-4050 | 9042470211 | GATEWAY VISION INC |
| 447 Atlantic Blvd, Atlantic Beach, FL 32233-4050 | 9042470211 | GATEWAY VISION INC |
| 1840 Dunn Ave, Suite 4, Jacksonville, FL 32218-4785 | 9047514483 | GATEWAY VISION INC |
| 1840 Dunn Ave, Jacksonville, FL 32218-4785 | 9047514483 | GATEWAY VISION INC |
| Organization Legal Name | GATEWAY VISION INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Popp | Optometry | Gateway Vision Inc | 1840 Dunn Ave, Suite 4, Jacksonville, FL 32218-4785 |
| Richard S Grimshaw | Optometry | Gateway Vision Inc | 1840 Dunn Ave, Suite 4, Jacksonville, FL 32218-4785 |
| Street Address |
447 ATLANTIC BLVD SUITE 1 |
| City | ATLANTIC BEACH |
| State | FL |
| Zip | 32233-4050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelli Anne Cabrera | Occupational Therapy | Motion Pt Group Florida LLC | 905 Assisi Ln, Jacksonville, FL 32233-2972 |
| Jessica Mai Brown | Occupational Therapy | Motion Pt Group Florida LLC | 905 Assisi Ln, Jacksonville, FL 32233-2972 |
| Joanne O'keefe Rowe | Physical Therapy | Motion Pt Group Florida LLC | 905 Assisi Ln, Jacksonville, FL 32233-2972 |
| Turner O Houston Jr. | Podiatry | 648 Aquatic Dr, Atlantic Beach, FL 32233-3841 | |
| Richard Nicholas Baiata | Chiropractic | 469 Atlantic Blvd, Suite 8, Atlantic Beach, FL 32233-4051 | |
| Jose Tamayo | Family Medicine | Baptist Primary Care Inc | 1 Fleet Landing Blvd, Atlantic Beach, FL 32233-4599 |
| Mark A Messinese | Internal Medicine | Baptist Primary Care Inc | 1 Fleet Landing Blvd, Atlantic Beach, FL 32233-4599 |
| Judith Killeen | Nurse Practitioner | Baptist Primary Care Inc | 1 Fleet Landing Blvd, Atlantic Beach, FL 32233-4599 |
| James November | Psychologist, Clinical | 647 Beach Ave, Atlantic Beach, FL 32233-5325 |
| City | ATLANTIC BEACH |
| Zip Code | 32233 |
| Specialty | OPTOMETRY |
| City + Specialty | ATLANTIC BEACH + OPTOMETRY |
Please comment or provide details below to improve the information on Bruce Caperton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.