Deborah R Bereda, OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4342 Issued in OH

Legal business name

DEBORAH R BEREDA, OD, INC

Practice address

8179 Princeton Glendale Rd
Suite E
Hamilton, OH 45011-9395

Phone

(513) 860-5525

Fax

(513) 860-3313

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Deborah Bereda, O.D.

Title

Owner/Optometrist

Phone

(513) 860-5525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1740464411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8179 PRINCETON GLENDALE RD",
            "address_2": "SUITE E",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450119395",
            "telephone_number": "513-860-5525",
            "fax_number": "513-860-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8179 PRINCETON GLENDALE RD",
            "address_2": "SUITE E",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450119395",
            "telephone_number": "513-860-5525",
            "fax_number": "513-860-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH R BEREDA, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "BEREDA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "513-860-5525",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Dean
• Lynne Frances Dean
• Emily Deaton, MOT, OTR/L
• Stephen Walter Deaton
• Charles Debbane, D.D.S.
• Hiba Dedmari
• Calandra Y. Deeble, L.P.N.
• Jordan Bradlee Dees, R.N. BSN
• Sandra Faye Dees, RN
• Grace Degroft

• Optometrist in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.