Berntsen, David A

Berntsen, David A is an individual health care provider with primary practice located at 4401 Martin Luther King Blvd , Houston TX 77204-2020. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Berntsen, David A can be contacted via phone (713) 743-2020.

Contact Information

Primary practice address
4401 Martin Luther King Blvd Houston TX 77204-2020
Phone: (713) 743-2020
Fax: (713) 743-0963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5287 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X 06274T Texas
Eye and Vision Services Providers / Optometrist 152W00000X 6274TG Texas
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 5287 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X 6274 Texas

Profile Details

NPI number 1285612770
LBN Legal business name Berntsen, David A
Credentials O.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated May 17th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285612770 NPPES
Texas MEDICAID 281270301
Texas MEDICAID 1124091-04

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