Individual
ENRIQUE GONZALEZ-BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6178 OXON HILL RD STE 100, OXON HILL, MD 20745-3161
(301) 839-5555
(301) 839-1867
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(703) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002532
VA
152W00000X
Optometrist
OPT002572
GA
152W00000X
Optometrist
Primary
TA2084
MD
152WC0802X
Corneal and Contact Management Optometrist
DA 2084
MD
152WS0006X
Sports Vision Optometrist
DA 2084
MD
Other
Enumeration date
05/22/2008
Last updated
08/09/2023
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