Michael P. Bert, O.D. P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008894 Issued in IL

Legal business name

MICHAEL P. BERT, O.D. P.C.

Practice address

1950 Sheridan Rd
Suite 105
Highland Park, IL 60035-2548

Phone

(847) 432-5668

Fax

(847) 432-5680

NPI assigned

Mar 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Patrick Bert, O.D.

Title

President

Phone

(847) 432-5668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1154644730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SHERIDAN RD",
            "address_2": "SUITE 105",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352548",
            "telephone_number": "847-432-5668",
            "fax_number": "847-432-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SHERIDAN RD",
            "address_2": "SUITE 105",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352548",
            "telephone_number": "847-432-5668",
            "fax_number": "847-432-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. BERT, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-432-5668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.