Elizabeth Prokos Berry, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3274 Issued in MA

Practice address

135 Main St
Sturbridge, MA 01566-1569

Phone

(508) 347-7309

Fax

(508) 347-7451

NPI assigned

Dec 12, 2005

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Optometry

Education

New England College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Massachusetts P CGroup PAC ID 1951661297, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eberry023727@myeyedr.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Massachusetts P C

  dba MyEyeDr.

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment Care Compare group NPD
• Dr. Elizabeth Prokos Berry

  dba Sturbridge Eye Care

  • Optometrist
  • Sturbridge, MA
  • NPI 1750776589
  NPD Authorized official
• Elizabeth Prokos Berry

  • Eyewear Supplier
  • Sturbridge, MA
  • NPI 1831376714
  Authorized official Same address or phone
• Myeyedr Optometry of Massachusetts P C

  dba MyEyeDr.

  • Optometrist
  • Randolph, MA
  • NPI 1033768445
  NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • North Andover, MA
  • NPI 1922971415
  NPD
• Myeyedr Optometry of Massachusetts P C

  dba MyEyeDr.

  • Optometrist
  • Quincy, MA
  • NPI 1679112528
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1356326532",
    "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": "135 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661569",
            "telephone_number": "508-347-7309",
            "fax_number": "508-347-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ELIZABETH",
        "middle_name": "PROKOS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W15758",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "759056",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371050",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Henry Audet, D.M.D.
• Adrienne Gail Bachand, PT
• Kacey-Lyn Bachant
• Patricia S Bak, RN, CDE
• Lisa Bardo-Barnes
• Rebecca Anne Bianchi, LMHC
• Anne Bisson Ingersoll
• Karen Ann Blakely, RPH
• Thomas Edwin Boccia, DMD
• Sheila Ann Botti, RN CS

• Optometrist in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.

Verify at the official NPI Registry.