Provider Demographics
NPI:1689669632
Name:BIERMAN, ARNOLD (OD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:
Last Name:BIERMAN
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:PO BOX 1369
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-0749
Mailing Address - Country:US
Mailing Address - Phone:215-822-1365
Mailing Address - Fax:215-822-2527
Practice Address - Street 1:2302 N BROAD ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-0749
Practice Address - Country:US
Practice Address - Phone:215-822-1365
Practice Address - Fax:215-822-2527
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000115152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU08088Medicare UPIN
PA289073Medicare ID - Type Unspecified
PA0138580001Medicare NSC