Eye Care of Berryhill, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S827TA355 Issued in AL

Legal business name

EYE CARE OF BERRYHILL, LLC

Practice address

2080 Berryhill Rd
Montgomery, AL 36117-3599

Phone

(334) 387-2020

Fax

(334) 387-0449

NPI assigned

Sep 28, 2006

Last updated

Dec 10, 2008By 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. Lisa B. Daniel, O.D.NPI 1457443491

Title

Owner

Phone

(334) 387-2020

Specialties & licenses 1

Addresses

Other names 1

• Montgomery LASIK & Eye Care Center Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 7

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.

• Lisa B. Daniel, O.D.

  • Optometrist
  • Auburn, AL
  • NPI 1457443491
  Medicare reassignment Care Compare group NPD Authorized official
• Amy G Allen, OD

  • Optometrist
  • Opelika, AL
  • NPI 1144944877
  Medicare reassignment Care Compare group NPD
• Michael Brandon Mull, O.D

  • Optometrist
  • Montgomery, AL
  • NPI 1962735191
  Medicare reassignment Care Compare group NPD
• John Steven Parker Jr., M.D.

  • Ophthalmology Physician
  • Vestavia, AL
  • NPI 1346509718
  Medicare reassignment Care Compare group NPD
• Robert Stewart Shofner, MD

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1427056993

  AL

  Medicare reassignment Care Compare group NPD
• Philip William Dockery, MD, MPH

  • Ophthalmology Physician
  • Vestavia, AL
  • NPI 1669057535
  Medicare reassignment NPD
• Joseph Frank Ceravolo, MD

  • Ophthalmology Physician
  • Columbus, GA
  • NPI 1508857038

  AL

  Medicare reassignment

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1851483895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 BERRYHILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173599",
            "telephone_number": "334-387-2020",
            "fax_number": "334-387-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 BERRYHILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173599",
            "telephone_number": "334-387-2020",
            "fax_number": "334-387-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OF BERRYHILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-387-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S827TA355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery LASIK & Eye Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.