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Individual

DR. JILL MARGARET BERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003048
CO
152WC0802X
Corneal and Contact Management Optometrist
OPT.0003048
CO
152WL0500X
Low Vision Rehabilitation Optometrist
OPT.0003048
CO
152WP0200X
Pediatric Optometrist
OPT.0003048
CO
152WS0006X
Sports Vision Optometrist
OPT0003048
CO
152WV0400X
Vision Therapy Optometrist
OPT.0003048
CO
152WX0102X
Occupational Vision Optometrist
OPT.0003048
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
63605376
CO
Enumeration date
08/17/2011
Last updated
02/14/2019
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