Bernard H. Blaustein, O.D.

Individual provider Active NPI Optometrist · Coatesville, PA

NPI 1619986544 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619986544
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OEG000894 (PA)
Practice address
1400 Blackhorse Hill Rd
Black Horse Hill
Coatesville, PA 19320-2040
Phone
(610) 384-7711
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000894 PA Yes

Addresses

Primary practice location

1400 Blackhorse Hill Rd
Black Horse Hill
Coatesville, PA 19320-2040

Mailing address

1400 Black Horse Hill
Coatesville, PA 19320-2096
Phone (610) 384-7711

Other providers in Coatesville, PA

All providers in Coatesville, PA · Optometrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.