Individual provider Active NPI

Deborah Bernay, O.D.

  • Optometrist
  • La Porte, TX
National Provider Identifier
1992708606
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3011TG Issued in TX
Practice address
401 W Fairmont Pkwy
Suite a
La Porte, TX 77571-6307
Phone
(281) 471-6546
Fax
(281) 471-3411
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3011TG TX Primary

Addresses

Primary practice location

401 W Fairmont Pkwy
Suite a
La Porte, TX 77571-6307

Mailing address

401 W Fairmont Pkwy
Suite a
La Porte, TX 77571-6307
Phone (281) 471-6546

Other identifiers 2

IdentifierTypeStateIssuer
112415802MedicaidTX
4546690OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20090515000421 TX Practitioner - Optometry 8325197635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah S. Bernay OD PCGroup PAC ID 2961553276, 2 clinicians

Practice addresses (Care Compare)

401 W Fairmont Pkwy
Suite a
La Porte, TX 77571-6314
Phone (281) 471-6546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah S. Bernay OD PC Optometrist CurrentSince Jul 1, 1982 Accepting new patients

Locations

1105 S Broadway St
La Porte, TX 77571
Phone (281) 471-6546

401 W Fairmont Pkwy
Ste A
La Porte, TX 77571
Phone (281) 471-6546

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1992708606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W FAIRMONT PKWY",
            "address_2": "SUITE A",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716307",
            "telephone_number": "281-471-6546",
            "fax_number": "281-471-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FAIRMONT PKWY",
            "address_2": "SUITE A",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716307",
            "telephone_number": "281-471-6546",
            "fax_number": "281-471-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAY",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3011TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112415802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4546690",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

Verify at the official NPI Registry.