Provider Demographics
NPI:1215980537
Name:SCHWARTZ, BERNARD (OD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6925 BRENTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-2254
Mailing Address - Country:US
Mailing Address - Phone:972-931-5978
Mailing Address - Fax:972-931-5978
Practice Address - Street 1:4200 SOUTH FWY STE 1108
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76115-1413
Practice Address - Country:US
Practice Address - Phone:817-207-0315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2411TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB124582Medicare PIN