MEDICARE: DR BRUCE E STARR PA

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	OC 2456	FL

General Provider Information

NPI Number	:	1396878872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR BRUCE E STARR PA

Provider Business Mailing Address
First Line	:	10327 ROYAL PALM BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4817
Country	:	US
Telephone Number	:	954-344-6896
Fax Number	:	954-340-1304

Provider Business Practice Location Address
First Line	:	10327 ROYAL PALM BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4817
Country	:	US
Telephone Number	:	954-344-6896
Fax Number	:	954-340-1304

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRUCE E STARR
Credential	:	OD
Telephone Number	:	954-344-6896

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	06/25/2008

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