Individual
DR. BRUCE ALLEN FELIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 WAL-MART DRIVE, THE VISION CENTER, EBENSBURG, PA 15931
(814) 471-0591
(814) 471-0593
Mailing address
128 MARTHA STREET, EBENSBURG, PA 15931
(814) 472-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE008112T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01787177
MEDICAL ASSISTANCE ID
PA
01
—
40650
HIGHMARK BLUE CROSS
PA
01
—
4146
DAVIS VISION
PA
Enumeration date
09/19/2006
Last updated
03/11/2020
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