Provider Demographics
NPI:1033370994
Name:STARR, BRUCE E (OD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:E
Last Name:STARR
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:10327 ROYAL PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4817
Mailing Address - Country:US
Mailing Address - Phone:954-344-6896
Mailing Address - Fax:954-340-1304
Practice Address - Street 1:10327 ROYAL PALM BLVD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4817
Practice Address - Country:US
Practice Address - Phone:954-344-6896
Practice Address - Fax:954-340-1304
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC2456152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20275Medicare PIN