Individual
DR. BERNARD C TEKIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004224
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060953
—
AL
01
—
2210338
UNITED HEALTHCARE
AL
01
—
410041318
MEDICARE TRAVELERS
AL
05
—
4799000
—
MI
05
—
4809545
—
MI
01
—
51060953TEK
BLUE CROSS BLUE SHIELD
AL
01
—
Z00115
VIVA HEALTH
AL
Enumeration date
05/23/2005
Last updated
12/04/2023
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