NPI 1720162191 · live from the CMS NPI Registry
Sameul A Berne, OD, FCOVD
Optometrist, Vision Therapy in Santa Fe, NM. National Provider Identifier 1720162191, active.
NPI record
| NPI | 1720162191 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist, Vision Therapy 152WV0400X |
| Practice location | 227 E Palace Ave, Suite G, Santa Fe, NM 87501 |
| Practice phone | 505-984-2030 |
| Enumerated | October 24, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Vision Therapy primary | 152WV0400X | 398 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.