DIANE BRUCE OD
NPI 1114060308
Optometrist - Corneal and Contact Management in Jesup, GA

Active since February 15, 2007PECOS Enrolled
198 SW BROAD ST, JESUP, GA 31545(912) 530-6000(912) 530-6044 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Diane Bruce Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE BRUCE OD (NPI 1114060308) is an individual corneal and contact management provider in Jesup, Georgia, licensed in Georgia (OPT001278) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114060308
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameDIANE BRUCECredential: OD
Location Address198 SW BROAD STJesup, GA 31545-1101
Mailing Address5250 Laurel TerFlowery Branch, GA 30542-5238
Fax(912) 530-6044
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateAugust 10, 2010
NPI 1114060308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in GA · OPT001278
Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

198 SW BROAD ST, Jesup, GA 31545

Other Identifiers 3

Medicaid814827714EGA
Medicare UPINU52643GA
Medicare ID-Type Unspecified41ZCFQHGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Diane Bruce Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
198 SW BROAD ST
JESUP, GA 31545
Optometrist
198 SW BROAD ST
JESUP, GA 31545
Ophthalmology
198 SW BROAD ST
JESUP, GA 31545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Bruce's NPI number?

The NPI number for Diane Bruce is 1114060308. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Diane Bruce located?

Diane Bruce practices at 198 SW Broad St, Jesup, GA 31545. The listed phone number is (912) 530-6000.

What is Diane Bruce's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Diane Bruce enrolled in Medicare?

Yes. Diane Bruce is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Bruce was last updated on August 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.