Provider Demographics
NPI:1265242952
Name:BRUCE A. FELIX, O.D., P.C.
Entity type:Organization
Organization Name:BRUCE A. FELIX, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-244-8352
Mailing Address - Street 1:988 BRUNSON SPRING RD
Mailing Address - Street 2:
Mailing Address - City:GALIVANTS FERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29544-8619
Mailing Address - Country:US
Mailing Address - Phone:814-244-8352
Mailing Address - Fax:843-365-0289
Practice Address - Street 1:300 WALMART DR
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4212
Practice Address - Country:US
Practice Address - Phone:814-471-0591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center