NPI 1386639417

Joseph M Bernhart

Practitioner Optician Manitowoc, WI

Practice location

Address: 4801 Expo Dr, Manitowoc, WI 54220-9341
Phone: (920) 684-4429
Fax: (920) 684-6892
Mailing address: PO Box 1900, Manitowoc, WI 54221-1900

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Wisconsin →

Registry record

NPI: 1386639417
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2005
Record last updated: 22 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.