Patricia Behrend, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D1554 Issued in NJ

Practice address

709 Stokes Road
Suite 100
Medford, NJ 08055-3002

Phone

(609) 654-4988

Fax

(609) 654-4991

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1356486294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 STOKES RD",
            "address_2": "SUITE 100",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553011",
            "telephone_number": "609-654-4988",
            "fax_number": "609-654-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 STOKES ROAD",
            "address_2": "SUITE 100",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553002",
            "telephone_number": "609-654-4988",
            "fax_number": "609-654-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHREND",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "D1554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Medford, NJ
• Providers in Medford, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.