Stephanie Berge, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005140 Issued in MI

Practice address

7230 Orchard Lake Rd
West Bloomfield, MI 48322-3603

Phone

(248) 661-5100

NPI assigned

Jul 2, 2018

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

Medicare fee-for-service enrollment

Enrolled in MI, AK2 enrollments

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 2

Specialty

Optometry

Education

Michigan College of Medicine and Surgery, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steven Scott DobsonGroup PAC ID 1254223381, 3 clinicians

Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569

  AK

  Medicare reassignment Care Compare group NPD
• Steven Scott Dobson

  • Optometrist
  • Anchorage, AK
  • NPI 1083730014
  Medicare reassignment Care Compare group NPD
• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1114413143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21745 BOULDER AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212301",
            "telephone_number": "586-899-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223603",
            "telephone_number": "248-661-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGE",
        "first_name": "STEPHANIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benchmark Physical Therapy Michigan LLC
• Virginia Pepito Benedict, PT
• Drew Bengel, L.M.S.W
• Shirley Ann Bennett
• Jokiemah M Bentley
• Jack Berkey, DPT
• Bari Dov Berkowitz, LLP
• Jeri Christina Berkowitz, D.P.M.
• Bernard Kole MD PC
• Robin Oklin Bernard, DDS

• Optometrist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.