NPIMap

Organization Active NPI

Berkshire Eye Center PC

  • Ophthalmology Physician
  • Pittsfield, MA
National Provider Identifier
1992740302
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BERKSHIRE EYE CENTER PC
Practice address
740 Williams St
Pittsfield, MA 01201-7463
Phone
(413) 445-4564
Fax
(413) 448-2727
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Fred Orlando, M.D.
Title
Vice President
Phone
(413) 445-4564

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X MA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MA Primary

Addresses

Primary practice location

740 Williams St
Pittsfield, MA 01201-7463

Mailing address

740 Williams St
Pittsfield, MA 01201-7463
Phone (413) 445-4564

Other identifiers 1

IdentifierTypeStateIssuer
9774017MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050421000205 MA Part B Supplier - Clinic/Group Practice 6901844802 Receives reassigned benefits from 12 practitioners
Practice locations: Pittsfield, MA
O20121212000148 NY Part B Supplier - Clinic/Group Practice 6901844802 Receives reassigned benefits from 2 practitioners
Practice locations: Valatie, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Eye Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

409 Stockbridge Rd
Great Barrington, MA 01230
Phone (413) 528-8848

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

2967 US Highway 9
Ste 402
Valatie, NY 12184
Phone (518) 758-9286

2967 US Highway 9
Valatie, NY 12184

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1992740302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "413-445-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9774017",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.