Matthew Glen Berardi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

830-D Issued in WV

Practice address

3208 Husky Hwy
Farmington, WV 26571-8122

Phone

(304) 825-6364

Fax

(304) 825-6750

NPI assigned

Nov 22, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Southern College of Optometry, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Nunya CorporationGroup PAC ID 1153537584, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nunya Corporation

  dba North Marion Vision Center

  • Optometrist
  • Farmington, WV
  • NPI 1245203900
  Medicare reassignment Care Compare group NPD Authorized official
• United Eye Associates

  • Optometrist
  • Bridgeport, WV
  • NPI 1467737676
  Authorized official Same address or phone
• Westover Eye Associates PLLC

  • Optometrist
  • Farmington, WV
  • NPI 1982982625
  Authorized official Same address or phone
• Angotti Family Eyecare PLLC

  • Optometrist
  • Bridgeport, WV
  • NPI 1871998047
  NPD (past)
• Caitlyn Haring, OD, PLLC

  dba Clarity Vision Center

  • Optometrist
  • Morgantown, WV
  • NPI 1679145882
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417022773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 HUSKY HWY",
            "city": "FARMINGTON",
            "state": "WV",
            "postal_code": "265718122",
            "telephone_number": "304-825-6364",
            "fax_number": "304-825-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 HUSKY HWY",
            "city": "FARMINGTON",
            "state": "WV",
            "postal_code": "265718122",
            "telephone_number": "304-825-6364",
            "fax_number": "304-825-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDI",
        "first_name": "MATTHEW",
        "middle_name": "GLEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "830-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007303",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Barker
• Jerrah Ann Batson
• Crystal Boley
• Laurie Ann Cook
• Barbara J Dadisman, RESPITE
• Ashley Dawn Davis
• Norma Lucille Devericks

• Optometrist in Farmington, WV
• Providers in Farmington, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.