Bruce Consor, O.D.
Optometrist in Alpharetta, GA. Individual provider (NPI-1).
NPI number1386741023
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1386741023
- Entity type
- Individual (NPI-1)
- Name
- Bruce Consor
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT001551 | GA | Yes |
Practice location
610 Portico PtAlpharetta, GA 30022-4717
Phone 770-317-5283
Mailing address
610 Portico PtAlpharetta, GA 30022-4717
Phone 770-317-5283
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 74 Optometrist providers in Alpharetta · All 4,303 providers in Alpharetta
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