Active NPI
Deborah Bernay, O.D.
- Optometrist
- La Porte, TX
National Provider Identifier
1992708606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3011TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112415802 | Medicaid | TX | |
| 4546690 | Other | TX | AETNA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
401 W Fairmont Pkwy
Suite a
La Porte, TX 77571-6314
Phone (281) 471-6546
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah S. Bernay OD PC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.