Doctor Name: | DR. MICHELLE BERTENTHAL |
NPI Number: | 1073531067 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D |
License Number: | 5170 |
Business Practice Address: | 26300 Cedar Rd Beachwood, OH - 441221158 |
Business Phone Number: | 2165149777 |
Business Fax Number: | |
Mailing Address: | 1720 Sunningdale Rd, MAYFIELD HEIGHTS |
State: | OH |
Postal Code: | 441243307 |
Phone Number: | 4407201492 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 12/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 5170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |