Dr. Charles O Bruce III, MD
Ophthalmology in Louisville, KY. Individual provider (NPI-1).
NPI number1730145657
StatusActive
Last updated in NPPESJan 14, 2019
Details
- NPI
- 1730145657
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles O Bruce III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2006
- Last updated
- Jan 14, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · 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 |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 16209 | KY | Yes |
Practice location
301 E Muhammad Ali BlvdLouisville, KY 40202-1511
Phone 502-588-0550
Mailing address
Po Box 909Louisville, KY 40201-0909
Phone 502-588-0330
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