Douglas T Berger, Optician
Technician/Technologist, Optician in Bronx, NY. Individual provider (NPI-1).
NPI number1992862163
StatusActive
Last updated in NPPESSep 21, 2011
Details
- NPI
- 1992862163
- Entity type
- Individual (NPI-1)
- Name
- Mr. Douglas T Berger
- Credential
- Optician
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2007
- Last updated
- Sep 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | C005104-1 | NY | Yes |
| 156FC0800X | Technician/Technologist, Contact Lens | C005104-1 | NY | |
| 156FC0801X | Technician/Technologist, Contact Lens Fitter | C005104-1 | NY |
Practice location
2169 White Plains RdBronx, NY 10462-1405
Phone 718-409-2200
Mailing address
160 Sherman AveTeaneck, NJ 07666-4123
Phone 917-553-7708
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