Berger, Douglas T
Berger, Douglas T is an individual health care provider with primary practice located at 2169 White Plains Rd , Bronx NY 10462-1405. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is his primary health care specialty. Berger, Douglas T can be contacted via phone (718) 409-2200.Contact Information
Primary practice address
2169 White Plains Rd
Bronx NY 10462-1405
Phone: (718) 409-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Contact Lens | 156FC0800X | C005104-1 | New York |
| Eye and Vision Services Providers / Contact Lens Fitter | 156FC0801X | C005104-1 | New York |
| Eye and Vision Services Providers / Optician | 156FX1800X | C005104-1 | New York |
Profile Details
| NPI number | 1992862163 |
|---|---|
| LBN Legal business name | Berger, Douglas T |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Sep 21st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992862163 | NPPES |
| New York | MEDICAID | 00960458 |
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