OrganizationActive
Behavioral Optometry
NPI 1174975114 · Vision Therapy Optometrist · Tesuque, NM
Provider details
- NPI number
- 1174975114
- Entity type
- Organization
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Samuel Berne, Owner(505) 469-4949
- License
- 398 (NM)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
174 Tesuque Village Rd
Unit 458
Tesuque, NM 87574-2000
Phone: (505) 469-4949
Approximate (ZIP-level) locationGet directions
Mailing address
174 Tesuque Village Rd
Tesuque, NM 87574-2000
Registry dates
- Enumerated
- 2016-07-01
- Last updated
- 2016-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.