W E Berry OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

W E BERRY OD PA

Practice address

3750 Clemmons Rd
Clemmons, NC 27012-8499

Phone

(336) 766-9118

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wilburn E Berry, O.D.

Title

President

Phone

(336) 766-9118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1376510230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128499",
            "telephone_number": "336-766-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128499",
            "telephone_number": "336-766-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W E BERRY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "WILBURN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-766-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Urato
• Marina J. Vendrillo, M.S., LPCA, CRC
• Victoria Cunnea, DC, PLLC
• David M Villanueva, D.O.
• Scott L Vogler, MD
• Ashlynn Wagner
• Wake Forest University Baptist Medical Center Community Physicians
• Wal-Mart Stores East LP
• Walgreen Co
• Walgreen Co

• All providers in Clemmons, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.