Ronald Mark Berger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0679 Issued in MD

Practice address

5012 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7711

Phone

(410) 730-8878

Fax

(410) 997-8272

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Vision Development, LLCGroup PAC ID 7214075084, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• The Center for Vision Development, LLC

  • Vision Therapy Optometrist
  • Annapolis, MD
  • NPI 1629201991
  Medicare reassignment Care Compare group NPD
• Baran & Duan PA

  • Optometrist
  • Columbia, MD
  • NPI 1477363976
  NPD (past)
• Ellicott City Total Eye Care LLC

  • Optometrist
  • Ellicott City, MD
  • NPI 1326229766
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1063448983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 DORSEY HALL DR",
            "address_2": "SUITE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427711",
            "telephone_number": "410-730-8878",
            "fax_number": "410-997-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 DORSEY HALL DR",
            "address_2": "SUITE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427711",
            "telephone_number": "410-730-8878",
            "fax_number": "410-997-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "RONALD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0679",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA0679",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MD",
            "license": "TA0679",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MD",
            "license": "TA0679",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA0679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269818800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresita Sapanhila Beltran, M.D.
• Elise M Benczkowski, ND
• Lauren Berdeguez, LCPC
• Jonah Alne Cristie Berdin
• Lesly Berger, MD
• Marie Luise Bergmeyer, DO
• Alena Berngartt
• Kimberly Berry
• Bethany Pediatrics LLC
• Better Life Pain Clinic, PLLC

• Optometrist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.