Beth A. Berlin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4652 Issued in MA

Practice address

21 Torrey St
Brockton, MA 02301-4849

Phone

(719) 576-1850

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bouquet Mulligan Demaio Eye Professionals P.C.Group PAC ID 7517918394, 5 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 and National Provider Directory roles.

• Bouquet Mulligan Demaio Eye Professionals P.C.

  • Ophthalmology Physician
  • Cleona, PA
  • NPI 1568493351
  Medicare reassignment Care Compare group
• Custom Eyes RX Inc

  • Health Service Clinic/Center
  • Matamoras, PA
  • NPI 1982732715
  Medicare reassignment NPD
• Monroe Vision and Hearing Center, Inc.

  • Optometrist
  • Stroudsburg, PA
  • NPI 1497821235
  Medicare reassignment NPD
• Jason Lam O.D., M.B.a., Inc.

  • Optometrist
  • Corona, CA
  • NPI 1598129769
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1609055334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 NORMANDY DR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621416",
            "telephone_number": "781-769-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TORREY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014849",
            "telephone_number": "719-576-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "BETH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavon-Sonjae Terra-Giani Bentley
• Emily Berger, OTR/L
• Karla L Bergmann, MSW
• Arielle Berish
• Rachel Nora Berkowitz, O.D.
• Doria Berman, BCBA LABA
• Robert F Berman, CRNA
• Scott Matthew Bernhard
• Emma Bernier, LPN
• Reya Berrios

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.