Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE RICHARD LANDIS, OD
ActiveMR. BRUCE RICHARD LANDIS, OD is a Optometrist healthcare provider located in ELKADER, Iowa. NPI 1154318772 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ELKADER, IA
Registration Details
- NPI Number
- 1154318772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.860764831179 yrs)
- Last Updated
- Aug 13, 2008
- License
-
1715 (IA)
Practice Information
- Address
-
202 S MAIN STELKADER, IA, 520439078Browse IA providers · Browse ZIP 52043
- Phone
- 5632452304
- Fax
- 5632452392
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.