Sameul A Berne, OD, FCOVD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

398 Issued in NM

Practice address

227 E Palace Ave
Suite G
Santa Fe, NM 87501-2043

Phone

(505) 984-2030

Fax

(505) 984-1082

NPI assigned

Oct 24, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720162191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E PALACE AVE",
            "address_2": "SUITE G",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012043",
            "telephone_number": "505-984-2030",
            "fax_number": "505-984-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E PALACE AVE",
            "address_2": "SUITE G",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012043",
            "telephone_number": "505-984-2030",
            "fax_number": "505-984-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNE",
        "first_name": "SAMEUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD, FCOVD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NM",
            "license": "398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Berman
• Jennifer Bermudez-Trujillo
• Rebecca Lynne Bermudez, LISW, RIMHC
• Veronica Bernal, BMS
• Bernard R. Gavron D.D.S., P.C.
• Jennifer Berning, LCSW
• Christopher Bernschein, MFT
• William Morris Bernstein, PH.D.
• Aaron D Berry, PTA
• Andrea Berry

• Vision Therapy Optometrist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Vision Therapy Optometrist in New Mexico

• 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.