Elizabeth Prokos Berry

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

3274 Issued in MA

Legal business name

ELIZABETH PROKOS BERRY

Practice address

135 Main St
Sturbridge, MA 01566-1569

Phone

(508) 347-7309

NPI assigned

Jan 23, 2008

Last updated

Apr 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Prokos Berry, O.D.NPI 1356326532

Title

Optometrist

Phone

(508) 347-7309

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Prokos Berry, OD

  • Optometrist
  • Sturbridge, MA
  • NPI 1356326532
  Authorized official Same address or phone

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1831376714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661569",
            "telephone_number": "508-347-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661569",
            "telephone_number": "508-347-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH PROKOS BERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "PROKOS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "508-347-7309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "3274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371050",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Elizabeth Donlon, NP
• Dr. Elizabeth Prokos Berry (Sturbridge Eye Care)
• Gisele Marie Duplessis, MSW, LICSW
• Eastern Integrations, LLC (Acupuncture & Oriental Medicine of Sturbridge)
• Electra Health Medical Mass PC
• David Michael Erani, M.D.
• Eye Doc LLC
• Casey Fairbrother, PHARMD
• Junjie Fang, M.D.
• Ashraf Farid, MD

• Eyewear Supplier in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.