Tamika Prentisa Bermejo

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OP.017132-S Issued in OH

Practice address

2925 Glendale Ave
Toledo, OH 43614-2684

Phone

(419) 380-8769

Fax

(419) 380-8921

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1356042592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142684",
            "telephone_number": "419-380-8769",
            "fax_number": "419-380-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142684",
            "telephone_number": "419-380-8769",
            "fax_number": "419-380-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMEJO",
        "first_name": "TAMIKA",
        "middle_name": "PRENTISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "OP.017132-S",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin L Beringer
• Leslie R Berk, MSW
• Robin Berk, SW-T
• Paul D Berlacher, MD
• Don Alan Berlekamp, PHARMD, BCPS
• Mauricio Bermudez
• Jose Bernal
• Brent Alexander Bernard, PA-C
• Melissa Bernard, PT
• Bernardo D. Martinez MD Facs Inc

• Optician in Toledo, OH
• Providers in Toledo, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.