Amy J Berg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

618002108 Issued in VA

Practice address

5809 Leesburg Pike
Falls Church, VA 22041-2301

Phone

(571) 290-6080

Fax

(571) 291-6081

NPI assigned

Aug 31, 2006

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Brunswick, GA
  • NPI 1043355605
  NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD
• Eye Street Optometry, PLLC

  dba MyEyeDr.

  • Optometrist
  • Washington, DC
  • NPI 1548408974
  NPD (past)
• Midwest Vision Centers Inc

  dba Midwest Vision Centers

  • Optician
  • Virginia, MN
  • NPI 1336352475
  NPD (past)
• Midwest Vision Centers Inc

  dba Midwest Vision Centers

  • Optician
  • Wadena, MN
  • NPI 1689747230
  NPD (past)
• Midwest Vision Centers, Inc

  dba Midwest Vision Centers

  • Optician
  • Morris, MN
  • NPI 1073682191

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1013028224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 LEESBURG PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412301",
            "telephone_number": "571-290-6080",
            "fax_number": "571-291-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "618002108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "22/02562",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "513T3BE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "967725900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Bennett, FNP-BC
• Caren Ann Benson-Mucha, RN
• Senyi Benti
• Lauren Benz, AGACNP-AG
• Freweini Beyene Beraki
• Korey Berg, ATC
• Erin M Berger, CRNA
• Kenneth William Berger, M.D.
• Arthur F Bergh, MD
• Sabine Fajon Bergwall, LPC, NCC

• Optometrist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.