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NPI Code Detail

MEDICARE: BERNARD D PERLA MD

MEDICARE:   BERNARD D PERLA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician35063312OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790774370
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD D PERLA MD
Provider Business Mailing Address
First Line : 36100 EUCLID AVE
Second Line : STE 450
City : WILLOUGHBY
State : OH
Zip : 44094-4456
Country : US
Telephone Number : 440-946-9555
Fax Number : 440-946-2223
Provider Business Practice Location Address
First Line : 36100 EUCLID AVE
Second Line : STE 450
City : WILLOUGHBY
State : OH
Zip : 44094-4456
Country : US
Telephone Number : 440-946-9555
Fax Number : 440-946-2223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 04/01/2021

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Directions to “ BERNARD D PERLA MD” Practice Location

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