Anne Elizabeth Berk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1749ATI Issued in OR

Practice address

13180 SE 169TH Ave Ste 104
Happy Valley, OR 97086-8727

Phone

(503) 698-2375

Fax

(503) 698-3398

NPI assigned

Jan 23, 2007

Last updated

Aug 14, 2018By the provider in NPPES

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 OR

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

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.

• Spectrum Eye Care LLC

  • Optometrist
  • Happy Valley, OR
  • NPI 1043969579
  Medicare reassignment NPD
• Double Vision Inc

  dba Happy Valley Vision Source

  • Optometrist
  • Happy Valley, OR
  • NPI 1508037607
  NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1609920701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13180 SE 169TH AVE STE 104",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868727",
            "telephone_number": "503-698-2375",
            "fax_number": "503-698-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 SE 169TH AVE STE 104",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868727",
            "telephone_number": "503-698-2375",
            "fax_number": "503-698-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1749ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antwon Tashaad Bell
• Lacy Benoit, QMHP
• Arlen Berger
• Scott Roderick Bergeron, PHARMD., RPH
• Lensa E Beri
• William Bert Berk Jr., O.D.
• Lauren Bickle, MD
• Letrice Blair, M.D.
• Marisol Christine Blaske, BA
• David Blum, DC

• Optometrist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.