Active NPI
Michael Patrick Bert, O.D.
- Optometrist
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002853
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004923362 | Other | IL | BC/BS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.89 of 100
- Quality
- 90.46
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002853 | VA | MD | Optometrist |
| 046-008894 | IL | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | 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.
-
- Optometrist
- Ashburn, VA
- NPI 1174933691
-
- Optometrist
- Warrenton, VA
- NPI 1225406952
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.