Provider Demographics
NPI:1457478638
Name:BRUCE, SHERYL ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:ANN
Last Name:BRUCE
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:3858 W CARSON ST
Mailing Address - Street 2:STE 110
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6705
Mailing Address - Country:US
Mailing Address - Phone:310-539-7100
Mailing Address - Fax:310-539-7121
Practice Address - Street 1:3858 W CARSON ST
Practice Address - Street 2:STE 110
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6705
Practice Address - Country:US
Practice Address - Phone:310-539-7100
Practice Address - Fax:310-539-7121
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2019-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA11016T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist