Individual
DR. DAVID A BERNTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PH.D.
Contact information
Practice address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Mailing address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
06274T
TX
152W00000X
Optometrist
5287
OH
152W00000X
Optometrist
Primary
6274
TX
152W00000X
Optometrist
6274TG
TX
152WC0802X
Corneal and Contact Management Optometrist
5287
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124091-04
—
TX
05
—
281270301
—
TX
Enumeration date
01/04/2006
Last updated
05/17/2022
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