Organization Active NPI

Berry Optical Laboratories Inc

Doing business as Berry Optical Inc

  • Optician
  • Montgomery, AL
National Provider Identifier
1124174529
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
BERRY OPTICAL LABORATORIES INC
Doing business as
Berry Optical Inc
Berry Optical Laboratories Inc
Berry Optical Laboratories Inc New Corp
Practice address
5550 Wares Ferry Rd
Montgomery, AL 36117
Phone
(334) 271-3937
Fax
(334) 279-7434
NPI assigned
Jan 26, 2007
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Mr. William T Stone, OPTICIAN
Title
Owner Optician
Phone
(334) 271-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

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 3

  • Berry Optical Inc Doing business as
  • Berry Optical Laboratories Inc Doing business as
  • Berry Optical Laboratories Inc New Corp Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230131000551 AL Part B Supplier - Clinic/Group Practice 0446462667 Receives reassigned benefits from 2 practitioners
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Locations

5550 Wares Ferry Rd
Montgomery, AL 36117
Phone (334) 271-3937

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1124174529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 WARES FERRY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-271-3937",
            "fax_number": "334-279-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 WARES FERRY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-271-3937",
            "fax_number": "334-279-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY OPTICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER OPTICIAN",
        "authorized_official_telephone_number": "334-271-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berry Optical Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berry Optical Laboratories Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berry Optical Laboratories Inc New Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.