Active NPI
Jana Lynn Bertke, OD
- Optometrist
- Fredericksburg, VA
National Provider Identifier
1174588867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001458
- Practice address
- 10001 Southpoint Pkwy
Fredericksburg, VA 22407-2700 - Phone
- (540) 834-2050
- Fax
- (540) 834-2444
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001458 | VA | Primary |
Addresses
Primary practice location
10001 Southpoint Pkwy
Fredericksburg, VA 22407-2700
Mailing address
PO Box 42241
Fredericksburg, VA 22404-2241
Phone (540) 834-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Jana Bertke OD PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Fredericksburg, VA
- NPI 1245639814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1174588867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42241",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224042241",
"telephone_number": "540-834-2050",
"fax_number": "540-834-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 SOUTHPOINT PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072700",
"telephone_number": "540-834-2050",
"fax_number": "540-834-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTKE",
"first_name": "JANA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.