Bernhardt Vision PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

2919 Issued in CO

Legal business name

BERNHARDT VISION PC

Practice address

102 W 4TH St
Loveland, CO 80537-5551

Phone

(970) 461-3464

Fax

(970) 638-2155

NPI assigned

Sep 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Corey Bernhardt, ODNPI 1104151299

Title

Owner/Provider

Phone

(970) 461-3464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corey Bernhardt, O.D.

  • Optometrist
  • Loveland, CO
  • NPI 1104151299
  Medicare reassignment NPD Authorized official
• George W. Lee III, O.D.

  • Optometrist
  • Loveland, CO
  • NPI 1366503005
  NPD (past)

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1871842674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 4TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375523",
            "telephone_number": "970-690-0822",
            "fax_number": "970-638-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 4TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375551",
            "telephone_number": "970-461-3464",
            "fax_number": "970-638-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNHARDT VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "BERNHARDT",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "970-461-3464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CO",
            "license": "2919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaea N Beresford, MD
• Shannon S. Berg, CMT
• Alexandra L Berger
• Zachary James Bergman, CTRS
• Kenneth James Bernardo, LCSW
• Corey Bernhardt, O.D.
• Kathleen Michelle Berrigan, M.A. CCC-SLP
• Alexandria Berthelette
• Berthoud Family Dentistry
• Bespoke Anesthesia Services LLC

• Exclusive Provider Organization in Loveland, CO
• Providers in Loveland, CO by specialty
• Exclusive Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.