Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV002123-1 | NY |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | TUV002123-1 | NY |
N | 152WP0200X | Pediatric Optomitrist | TUV002123-1 | NY |
N | 152WX0102X | Occupational Vision | TUV002123-1 | NY |
NPI | 1003876723 |
---|---|
Provider Name | Dr. Ira J. Bernstein |
First Address | White Plains, NY 10604-3002 |
Second Address | White Plains, NY 10604-3002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 03/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003876723 | NPI (01) | NY |
T81342 | (02) | NY |