Craig E. Berris

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

G32698 Issued in CA

Legal business name

CRAIG E. BERRIS

Doing business as

Center for Cosmetic Eyelid & Laser Surgery

Practice address

77 Scripps Dr
Suite 201
Sacramento, CA 95825-6209

Phone

(916) 929-6707

Fax

(916) 929-6897

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli L Ortiz

Title

Office Manager

Phone

(916) 929-6707

Specialties & licenses 1

Addresses

Other names 1

• Center for Cosmetic Eyelid & Laser Surgery Doing business as

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1083833727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SCRIPPS DR",
            "address_2": "SUITE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256209",
            "telephone_number": "916-929-6707",
            "fax_number": "916-929-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SCRIPPS DR",
            "address_2": "SUITE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256209",
            "telephone_number": "916-929-6707",
            "fax_number": "916-929-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG E. BERRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-929-6707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "G32698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Cosmetic Eyelid & Laser Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Benjamin Craig
• Jodie Lynn Craig, M.D.
• Larry Dwayne Craig, RAS
• Maureen Annemarie Craig, RN, MSN, CNN

• Ophthalmologic Surgery Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.