Individual provider Active NPI

Marc M Berson, O.D.

  • Optometrist
  • Allentown, PA
National Provider Identifier
1023170669
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG00372 Issued in PA
Practice address
2804 Walbert Ave
Allentown, PA 18104-2400
Phone
(610) 439-3937
Fax
(610) 439-0215
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG00372 PA Primary

Addresses

Primary practice location

2804 Walbert Ave
Allentown, PA 18104-2400

Mailing address

31 S 9TH St
Allentown, PA 18102-4848
Phone (610) 439-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110427000340 PA Practitioner - Optometry 1254516735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG00372PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Martocci and Associates, LLC Optometrist CurrentSince Jul 4, 2018 Accepting new patients
Hamilton Eye Institute P.C. Optometrist CurrentSince Aug 1, 2018 Accepting new patients

Locations

5201 Hamilton Blvd
Allentown, PA 18106
Phone (610) 395-3659

2804 Walbert Ave
Allentown, PA 18104
Phone (610) 439-3937

201 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 328-4444

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1023170669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S 9TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024848",
            "telephone_number": "610-439-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042400",
            "telephone_number": "610-439-3937",
            "fax_number": "610-439-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSON",
        "first_name": "MARC",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG00372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.