Behrens, Bernardo

Behrens, Bernardo is an individual health care provider with primary practice located at 1880 Carswell Avenue , Ft Worth TX 76127. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Behrens, Bernardo can be contacted via phone (505) 313-6506.

Contact Information

Primary practice address
1880 Carswell Avenue Ft Worth TX 76127
Phone: (505) 313-6506
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 006502 New York
Eye and Vision Services Providers / Optometrist 152W00000X 6007T Texas
Eye and Vision Services Providers / Optometrist 152W00000X 432 New Mexico

Profile Details

NPI number 1205953023
LBN Legal business name Behrens, Bernardo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated Apr 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205953023 NPPES
Texas MEDICAID 170420701
Texas MEDICAID 000Q4763

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