Michael James Bernardi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61335429 Issued in WA

Practice address

4605 NE 4TH St Ste 3
Renton, WA 98059-5055

Phone

(425) 970-3230

Fax

(425) 970-3533

NPI assigned

Aug 25, 2022

Sex

Male

Sole proprietor

No

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

Enrolled in WA

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

Specialty

Optometry

Education

University of California - School of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oceanclear Eyecare IncGroup PAC ID 0345480430, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oceanclear Eyecare, Inc

  • Optometrist
  • Renton, WA
  • NPI 1598002453
  Medicare reassignment Care Compare group NPD
• Polaris Eyecare Inc

  • Optometrist
  • Seattle, WA
  • NPI 1659671782
  Medicare reassignment NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1619696200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 BRANT WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096401",
            "telephone_number": "925-262-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 NE 4TH ST STE 3",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980595055",
            "telephone_number": "425-970-3230",
            "fax_number": "425-970-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDI",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61335429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janella Bermudez, DDS
• Regan Bernal, RDH
• Samantha Elizabeth Bernal
• Gabrielle Dionyse Lauren Bernard, MD
• Robert Willis Bernard, LMP
• Greta Valentine Bernier, M.D.
• Sherrie Bertini Foster
• Kelci Briahn Berto, RN
• Briar Helene Bertoch, MD
• Best Health Family Home

• Optometrist in Renton, WA
• Providers in Renton, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.