Individual provider · NPI-1

Dr. Michael Alan Berenhaus, O.D.

Optometrist · Bethesda, MD

NPI number1407905128
StatusActive
Last updated in NPPESMay 14, 2009

Details

NPI
1407905128
Entity type
Individual (NPI-1)
Name
Dr. Michael Alan Berenhaus
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 10, 2007
Last updated
May 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTA0907MDYes

Practice location

4300 E West Hwy
Bethesda, MD 20814-4433

Phone 301-656-0775 · Fax 301-656-5164

Mailing address

4300 E West Hwy
Bethesda, MD 20814-4433

Phone 301-656-0775 · Fax 301-656-5164

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