Individual provider Active NPI

Charles Bernardi, O.D.

  • Optometrist
  • Schaumburg, IL
National Provider Identifier
1295984466
Registry record updated Mar 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010073 Issued in IL
Practice address
850 E Golf Rd
Schaumburg, IL 60173-4502
Phone
(847) 519-1020
Fax
(847) 519-0626
NPI assigned
Sep 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010073 IL Primary

Addresses

Primary practice location

850 E Golf Rd
Schaumburg, IL 60173-4502

Mailing address

850 E Golf Rd
Schaumburg, IL 60173-4502
Phone (847) 519-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321000038 SC Practitioner - Optometry 7315005436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

361 Halton Rd
Greenville, SC 29607-3405
Phone (864) 288-1990

6725 State Park Rd
Suite B
Travelers Rest, SC 29690-1831
Phone (864) 834-7311

966 Houston Northcutt Blvd
Suite D
Mount Pleasant, SC 29464-3487
Phone (843) 881-2492

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2315SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of SC LLC Optometrist CurrentSince Mar 21, 2022 Accepting new patients
Voss and Voss, O.D., P.a. Optometrist PastSince Dec 20, 1990 Accepting new patients
Eye Boutique, LLC Optometrist Past Accepting new patients
Eye Care Associates of Co LLC Optometrist PastSince Jan 17, 2022 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients

Locations

361 Halton Rd
Greenville, SC 29607
Phone (864) 288-1990

317 The Pkwy
Greer, SC 29650
Phone (864) 627-0634

966 Houston Northcutt Blvd
Ste D
Mt Pleasant, SC 29464
Phone (843) 881-2492

9770 Dorchester Rd
Unit 101
Summerville, SC 29485
Phone (843) 767-2328

6725 State Park Rd
#B
Travelers Rst, SC 29690
Phone (864) 834-7311

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269129600000",
    "number": "1295984466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734502",
            "telephone_number": "847-519-1020",
            "fax_number": "847-519-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734502",
            "telephone_number": "847-519-1020",
            "fax_number": "847-519-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDI",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2010-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.