P Praxis·MD
● Active Type 1 · Individual

Diane Bruce, OD

Optometrist·Jesup, GA· NPI 1114060308 · Enumerated 2007 · 19 years on NPI
Bruce is 1 of 1 optometrist providers in Jesup and 1 of 59 in Georgia.
NPI age
19 years
Enumerated 2007-02-15
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-08-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 59 active optometrist providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
198 Sw Broad St
Jesup, GA 315451101
📞 9125306000fax 9125306044
Mailing address
5250 Laurel Ter
Flowery Branch, GA 305425238

Specialties

  • Optometrist Primary
    The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal...
    GA license #OPT001278 taxonomy 152WC0802X

Identifiers

TypeValueNotes
05 (GA) 814827714E

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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