Individual provider Active NPI

Michael Patrick Bert, O.D.

  • Optometrist
  • Winchester, VA
National Provider Identifier
1306844261
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002853 Issued in VA
Practice address
142 Linden Dr Ste 108
Winchester, VA 22601-6901
Phone
(540) 722-6200
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008894 IL
Corneal and Contact Management Optometrist 152WC0802X 046-008894 IL
Low Vision Rehabilitation Optometrist 152WL0500X 046-008894 IL
Optometrist 152W00000X 0618002853 VA Primary

Addresses

Primary practice location

142 Linden Dr Ste 108
Winchester, VA 22601-6901

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

3051 Valley Ave
Winchester, VA 22601-2699
Phone (540) 450-8504

Other practice location 2

1910 1St St
Ste 405
Highland Park, IL 60035-3147
Phone (847) 432-5668

Other identifiers 1

IdentifierTypeStateIssuer
0004923362OtherILBC/BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200521000773 DC Practitioner - Optometry 5991998874
I20200522000419 VA Practitioner - Optometry 5991998874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
90.46
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002853VAMDOptometrist
046-008894ILMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

617 Potomac Station Dr NE
#A
Leesburg, VA 20176
Phone (703) 669-4646

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

251 W Lee Hwy
Ste 632
Warrenton, VA 20186
Phone (540) 428-3937

3051 Valley Ave
Ste 102
Winchester, VA 22601
Phone (540) 450-8504

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1306844261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LINDEN DR STE 108",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016901",
            "telephone_number": "540-722-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3051 Valley Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012699",
            "country_code": "US",
            "telephone_number": "540-450-8504",
            "fax_number": "540-450-8507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 1ST ST",
            "address_2": "STE 405",
            "address_purpose": "LOCATION",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353147",
            "country_code": "US",
            "telephone_number": "847-432-5668",
            "fax_number": "847-432-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERT",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008894",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046-008894",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": "046-008894",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "0004923362",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.