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Contact Information

DOUGLAS T BERGER, OPTICIAN
2169 WHITE PLAINS RD
BRONX, NY10462-1405
 Phone: 718-409-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens

156FC0800X
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for DOUGLAS T BERGER · (Male)

NPI Number 1992862163
Status Active
Credentials OPTICIAN
Entity Individual
Enumeration date 01/03/2007
Last updated 09/21/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # C005104-1
  • NY Medicaid 00960458
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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