John Thomas Berg, O.D.
Individual provider Active NPI Optometrist · Copperas Cove, TX
NPI 1831132349 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1831132349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2915T (TX)
- Practice address
- 2724 E Highway 190
Copperas Cove, TX 76522-2562 - Phone
- (254) 542-7540
- Fax
- (254) 542-7541
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100708000851 | TX | Practitioner - Optometry | 4385775360 | Practice locations: Copperas Cove, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2915T | TX | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2915T | TX | Yes |
Addresses
Primary practice location
2724 E Highway 190
Copperas Cove, TX 76522-2562
Mailing address
287 County Road 4749
Kempner, TX 76539-5585
Phone (254) 542-7540
Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.