Individual provider Active NPI

Ariann Dershaw Bernstein, OD

  • Optometrist
  • King of Prussia, PA
National Provider Identifier
1114033891
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001480 Issued in PA
Practice address
200 Mall Blvd
King of Prussia, PA 19406-2902
Phone
(610) 337-1580
Fax
(610) 337-2133
NPI assigned
Aug 22, 2006
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001480 PA Primary

Addresses

Primary practice location

200 Mall Blvd
King of Prussia, PA 19406-2902

Mailing address

200 Mall Blvd
King of Prussia, PA 19406-2902
Phone (610) 337-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1114033891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ARIANN",
        "middle_name": "DERSHAW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.