Individual
DR. LEORA A BERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
43 WEST MAIN STREET, AVON, CT 06001
(860) 676-2376
(860) 677-0517
Mailing address
43 WEST MAIN STREET, AVON, CT 06001
(860) 676-2376
(860) 677-0517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002118
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002118CT04
ANTHEM
CT
01
—
1015675
AETNA
CT
01
—
757076
CONNECTICARE
—
01
—
P2542157
OXFORD
—
01
—
T22330
VSP
—
Enumeration date
09/06/2006
Last updated
07/09/2007
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