Michael L Berger, O D P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ0340 Issued in AZ

Practice address

6677 W Thunderbird Rd # B132
Glendale, AZ 85306-3713

Phone

(602) 978-1199

Fax

(623) 487-7046

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1992869960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121126",
            "telephone_number": "602-978-1199",
            "fax_number": "623-487-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD # B132",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063713",
            "telephone_number": "602-978-1199",
            "fax_number": "623-487-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "O D P C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ0340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Berg, DC
• Gerald C Berg, DC
• Leah S. Berg, SLPA
• Lisa A. Berg, SLPA
• Jeremy Alex Berger, OD
• Dustin Bergeron
• Haley Anne Bergstrom, GRADUATE INTERN
• Yosafat Mamo Berhane
• Annette M Berka, OT
• Amber Berleen, FNP

• Optometrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.