Organization Active NPI

Bernardo Behrens OD PLLC

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1346401502
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BERNARDO BEHRENS OD PLLC
Practice address
801 W Main St
Lewisville, TX 75067-3556
Phone
(214) 222-1200
Fax
(214) 222-1202
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Bernardo Behrens, DO
Title
Owner
Phone
(214) 222-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

801 W Main St
Lewisville, TX 75067-3556

Mailing address

801 W Main St
Lewisville, TX 75067-3556
Phone (214) 222-1200

Other identifiers 1

IdentifierTypeStateIssuer
170420701MedicaidTX

National Provider Directory

National Provider Directory

Locations

801 W Main St
Lewisville, TX 75067
Phone (214) 222-1200

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1346401502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673556",
            "telephone_number": "214-222-1200",
            "fax_number": "214-222-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673556",
            "telephone_number": "214-222-1200",
            "fax_number": "214-222-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDO BEHRENS OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BEHRENS",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-222-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170420701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.