Eugene J. Bernal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

VT0300000220 Issued in VT

Practice address

587 Hartford Ave
White River Junction, VT 05001-8031

Phone

(802) 295-4887

Fax

(802) 295-5896

NPI assigned

Jun 18, 2006

Last updated

Apr 29, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@whiteriverfamilyeyecarewhiteriverjunctionvt.compulinkdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White River Family Eyecare, PC

  • Optometrist
  • White River Junction, VT
  • NPI 1104878206
  Medicare reassignment NPD Authorized official
• Dufour Vision Care PLLC

  dba Hanover Eyecare

  • Optometrist
  • White River Junction, VT
  • NPI 1366257990
  NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1902841380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 HARTFORD AVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050018031",
            "telephone_number": "802-295-4887",
            "fax_number": "802-295-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 HARTFORD AVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050018031",
            "telephone_number": "802-295-4887",
            "fax_number": "802-295-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "EUGENE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "VT0300000220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009878",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Bazzano, AU.D., CCC-A
• Megan Marie Troxell Beidler, LICSW
• Dawna Bennett, RDN
• Ralph Parmenter Bennett, MSW LICSW
• Rebecca A Bent, APRN-NP
• Nancy C Bernardy, PH.D.
• Mari N. Berry, DMD
• Louise A Berube, LICSW
• Sharon Regula Besso, ARNP
• Stephen Bettwieser, M.D.

• Optometrist in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.