Berry Optical Laboratories Inc
Organization Active NPI Optician · Montgomery, AL
NPI 1124174529 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1124174529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- Legal business name
- BERRY OPTICAL LABORATORIES INC
- Practice address
- 5550 Wares Ferry Rd
Montgomery, AL 36117 - Phone
- (334) 271-3937
- Fax
- (334) 279-7434
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. William T Stone, OPTICIAN
- Title
- Owner Optician
- Phone
- (334) 271-3937
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230131000551 | AL | Part B Supplier - Clinic/Group Practice | 0446462667 |
Receives reassigned benefits from 2 practitioners Practice locations: Montgomery, AL |
National Provider Directory
Locations
5550 Wares Ferry Rd
Montgomery, AL 36117
Phone (334) 271-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | Yes |
Addresses
Primary practice location
5550 Wares Ferry Rd
Montgomery, AL 36117
Mailing address
5550 Wares Ferry Rd
Montgomery, AL 36117
Phone (334) 271-3937
Other names
- Berry Optical Inc
- Berry Optical Laboratories Inc
- Berry Optical Laboratories Inc New Corp
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.