Dr Jana Bertke OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001458 Issued in VA

Legal business name

DR JANA BERTKE OD PLLC

Practice address

10001 Southpoint Pkwy
Fredericksburg, VA 22407-2700

Phone

(540) 834-2050

Fax

(540) 834-2444

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jana Bertke, O.D.NPI 1174588867

Title

President

Phone

(540) 834-2050

Specialties & licenses 1

Addresses

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.

• Jana Lynn Bertke, OD

  • Optometrist
  • Fredericksburg, VA
  • NPI 1174588867
  NPD (past) Authorized official
• Thomas H Tsai, O.D.

  • Optometrist
  • Fredericksburg, VA
  • NPI 1518954619
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1245639814",
    "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": {
        "organization_name": "DR JANA BERTKE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "BERTKE",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-834-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Raymond J. Beach, LLC
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• Dr. Thomas Tsai, O.D., PLLC
• Dr.Khanali's Neuropsychological Services, LLC

• Optometrist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.