S Louis Berta, OD

NPI #1396833000 in Logan, Ohio

Provider Information

NPI Number: 1396833000
Entity Type: Individual
Name: S Louis Berta, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 15171 BURCHAM RD
City: Logan
State: Ohio
ZIP Code: 43138-8995
Phone: (740) 385-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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