Active NPI
Berry Optometry LLC
- Optometrist
- Cape Girardeau, MO
National Provider Identifier
1114359106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2012025572
- Legal business name
- BERRY OPTOMETRY LLC
- Practice address
- 263 W Park Mall
Cape Girardeau, MO 63703-6341 - Phone
- (573) 332-0110
- NPI assigned
- Aug 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morgan Berry, OD
- Title
- Optometrist
- Phone
- (618) 926-3020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2012025572 | MO | Primary |
Addresses
Primary practice location
263 W Park Mall
Cape Girardeau, MO 63703-6341
Mailing address
1818 Ricardo Dr
Cape Girardeau, MO 63701-3838
Phone (618) 926-3020
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Jackson, MO
- NPI 1336200617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375315200000",
"number": "1114359106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 RICARDO DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637013838",
"telephone_number": "618-926-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 W PARK MALL",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036341",
"telephone_number": "573-332-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERRY OPTOMETRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "MORGAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "618-926-3020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "2012025572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.