Angela D, Bergin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1940 Issued in NC

Practice address

14154 Steele Creek Rd Ste 200
Charlotte, NC 28273-4376

Phone

(980) 319-1870

NPI assigned

Aug 6, 2009

Last updated

Jan 16, 2023By 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 NC

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

Illinois College of Optometry at Chicago, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Eyecare OD PAGroup PAC ID 5092043877, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Excel Eyecare OD PA

  • Optometrist
  • Charlotte, NC
  • NPI 1295387637
  Medicare reassignment Care Compare group NPD Authorized official
• Carolina Vision Rehabilitation OD PLLC

  • Vision Therapy Optometrist
  • Charlotte, NC
  • NPI 1366267023
  NPD Authorized official

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1790916856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14154 STEELE CREEK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734376",
            "telephone_number": "980-319-1870",
            "fax_number": "704-541-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14154 STEELE CREEK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734376",
            "telephone_number": "980-319-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGIN",
        "first_name": "ANGELA",
        "middle_name": "D,",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Berg, PHARMD
• Alyse Michelle Berger, PNP
• Erica L Berger, MD
• Jeffrey Allen Berger, MD
• Krista J Berger, SLP
• Evan Bergman
• Larry Richard Bergman, CRNA
• Rebecca Bergman
• Anne Parker Bergwall, MD
• Mary Kay Berhalter

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.