| Bernard D Perla, MD | |
|
36100 Euclid Ave, Ste 450, Willoughby, OH 44094-4456 | |
| (440) 946-9555 | |
| (440) 946-2223 |
| Full Name | Bernard D Perla |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 36100 Euclid Ave, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790774370 | NPI | - | NPPES |
| 0167439 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35063312 (Ohio) | Primary |
| Entity Name | Ice Ophthalmology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861909707 PECOS PAC ID: 5092074138 Enrollment ID: O20180117001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard D Perla, MD 36100 Euclid Ave, Ste 450, Willoughby, OH 44094-4456 Ph: (440) 946-9555 | Bernard D Perla, MD 36100 Euclid Ave, Ste 450, Willoughby, OH 44094-4456 Ph: (440) 946-9555 |
Dr. James Scott Lane, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Rd, Willoughby, OH 44094 Phone: 216-524-7377 Fax: 440-975-4667 | |
Dr. Bruce Robert Jacobson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 36100 Euclid Ave, Suite 450, Willoughby, OH 44094 Phone: 440-946-9555 Fax: 440-946-2223 | |
Christopher Lynn Daugherty, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 36100 Euclid Ave Ste 450, Willoughby, OH 44094 Phone: 440-946-9555 Fax: 440-956-2223 |