Provider Type Icon

BEHAVIORAL OPTOMETRY NPI 1174975114


NPI Information

NPI: 1174975114
Provider Name: BEHAVIORAL OPTOMETRY
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
174 TESUQUE VILLAGE RD
UNIT 458
TESUQUE, NM
ZIP 87574
Phone: (505) 469-4949
Get Directions

BEHAVIORAL OPTOMETRY is a vision therapy optometrist in Tesuque, NM. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. BEHAVIORAL OPTOMETRY NPI is 1174975114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

174 TESUQUE VILLAGE RD
UNIT 458
TESUQUE, NM
ZIP 87574-000
Phone: (505) 469-4949

The provider's authorized official is Samuel A Berne .
The authorized official title is Owner and has the following contact phone number (505) 469-4949.

The enumeration date for this NPI number is 7/1/2016 and was last updated on 7/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision Therapy398NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.