Provider Demographics
NPI:1659752657
Name:BERA, RADHIKA PATEL (OD)
Entity Type:Individual
Prefix:DR
First Name:RADHIKA
Middle Name:PATEL
Last Name:BERA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RADHIKA
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:209 KATELYN DR
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-6105
Mailing Address - Country:US
Mailing Address - Phone:215-485-3108
Mailing Address - Fax:
Practice Address - Street 1:455 S WASHINGTON ST STE 24
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2516
Practice Address - Country:US
Practice Address - Phone:717-334-9159
Practice Address - Fax:717-334-7225
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003040152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist