MEDICARE: JEAN ANN BRUCH OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG000647	PA

General Provider Information

NPI Number	:	1043220130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN ANN BRUCH OD

Provider Business Mailing Address
First Line	:	647 S R 93 VALLEY PLAZA
Second Line	:	P O BOX 752
City	:	CONYNGHAM
State	:	PA
Zip	:	18219-0752
Country	:	US
Telephone Number	:	570-788-4133
Fax Number	:	570-788-2876

Provider Business Practice Location Address
First Line	:	647 S R 93
Second Line	:	VALLEY PLAZA STE 7
City	:	CONYNGHAM
State	:	PA
Zip	:	18219-0752
Country	:	US
Telephone Number	:	570-788-4133
Fax Number	:	570-788-2876

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1316002934 — BRUCH EYE CARE ASSOCIATES
Practice Location Address:

VALLEY PLAZA, RT 93
CONYNGHAM, PA
18219-0752

Practice Phone: 570-788-4133
Practice Fax: 570-788-2876

1700810215 — DR. JOHN JOSEPH SHALANSKI DSW
Practice Location Address:

90 BENJAMIN AVE
CONYNGHAM, PA
18219-0006

Practice Phone: 570-788-4321
Practice Fax:

1447366570 — DR. MARY-JANE WARD MD
Practice Location Address:

642 BROOKHILL SQ SOUTH
CONYNGHAM, PA
18219

Practice Phone: 570-788-1222
Practice Fax:

1467537902 — DR. RICHARD GROVICH DMD
Practice Location Address:

314 MAIN STREET , BOX 994
CONYNGHAM, PA
18219-0994

Practice Phone: 570-788-3963
Practice Fax:

1295810711 — HOWARD M FOLK
Practice Location Address:

303 MAIN STREET
CONYNGHAM, PA
18219

Practice Phone: 570-788-1344
Practice Fax: 570-788-3346

1184777609 — CHRISTINA G FALVELLO PA-C,ATC
Practice Location Address:

54 WEST BENJAMIN AVE
CONYNGHAM, PA
18219-0654

Practice Phone: 570-956-4946
Practice Fax:

Directions to “ JEAN ANN BRUCH OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.