Bernie Raul Trejo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

664 Issued in AZ

Practice address

2680 E Valencia Rd Ste 188
Tucson, AZ 85706-5962

Phone

(520) 889-7766

Fax

(520) 889-2306

NPI assigned

Mar 2, 2007

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Buena Vista Eyecare P. C.

  • Optometrist
  • Tucson, AZ
  • NPI 1568742385
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376672865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E VALENCIA RD STE 188",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857065962",
            "telephone_number": "520-889-7766",
            "fax_number": "520-889-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E VALENCIA RD STE 188",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857065962",
            "telephone_number": "520-889-7766",
            "fax_number": "520-889-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "BERNIE",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Treiber, BEHAVIOR TECHNICIAN
• Jenna Kim Treiber, O.D
• Julie Treinen, MA, LPC, LISAC
• Alexa Trejo
• Anecia Trejo
• Fatima Karina Celaya Trejo, LPC
• Francisco J Trejo, P.A.
• Jeffrey Wayne Trejo, M.S., CCC-A,F-AAA
• Stacey I Trepanier, AU.D.
• Angelina Tretola

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.