Individual
DR. BERNARDO BEHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1880 CARSWELL AVENUE, FT WORTH, TX 76127
(505) 313-6506
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
006502
NY
152W00000X
Optometrist
Primary
432
NM
152W00000X
Optometrist
6007T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q4763
—
NM
05
—
170420701
—
TX
Enumeration date
03/25/2007
Last updated
04/19/2022
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