IndividualActive
Diane Bruce, OD
NPI 1114060308 · Corneal and Contact Management Optometrist · Jesup, GA
Provider details
- NPI number
- 1114060308
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OPT001278 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
198 Sw Broad St
Jesup, GA 31545-1101
Phone: (912) 530-6000
Fax: (912) 530-6044
Approximate (ZIP-level) locationGet directions
Mailing address
5250 Laurel Ter
Flowery Branch, GA 30542-5238
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2010-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.