Individual
DR. VINCENT A BERTOMEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001167
VA
152W00000X
Optometrist
OP1000240
DC
152W00000X
Optometrist
TA2088
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003074139
—
VA
Enumeration date
05/27/2008
Last updated
05/07/2024
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