Behavioral Optometry

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

398 Issued in NM

Legal business name

BEHAVIORAL OPTOMETRY

Practice address

174 Tesuque Village Rd
Unit 458
Tesuque, NM 87574-2000

Phone

(505) 469-4949

NPI assigned

Jul 1, 2016

Last updated

Jul 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel A Berne, OD

Title

Owner

Phone

(505) 469-4949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1174975114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 TESUQUE VILLAGE RD",
            "address_2": "UNIT 458",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "875742000",
            "telephone_number": "505-469-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 TESUQUE VILLAGE RD",
            "address_2": "UNIT 458",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "875742000",
            "telephone_number": "505-469-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "BERNE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-469-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NM",
            "license": "398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene L. Frank MD LLC
• Eugene L Frank, M.D.
• Roberta R Goodman, LPAT
• Richard Dale Juel, M.D.
• Santa Fe Mountain Center Inc (The Mountain Center)

• Vision Therapy Optometrist in Tesuque, NM
• Providers in Tesuque, NM by specialty
• Vision Therapy Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.