Active NPI
Ruthann Rice Berck, O.D.
- Optometrist
- Bloomington, IN
National Provider Identifier
1801921432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002020B
- Practice address
- 2852 E 3Rd St
Bloomington, IN 47401-5423 - Phone
- (812) 334-1893
- Fax
- (812) 334-1906
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002020B | IN | Primary |
Addresses
Primary practice location
2852 E 3Rd St
Bloomington, IN 47401-5423
Mailing address
2852 E 3Rd St
Bloomington, IN 47401-5423
Phone (812) 334-1893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002020B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melanie Carver, Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Bloomington, IN
- NPI 1497997878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801921432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2852 E 3RD ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474015423",
"telephone_number": "812-334-1893",
"fax_number": "812-334-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2852 E 3RD ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474015423",
"telephone_number": "812-334-1893",
"fax_number": "812-334-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERCK",
"first_name": "RUTHANN",
"middle_name": "RICE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002020B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.