MATTHEW GLEN BERARDI (NPI# 1417022773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417022773 |
| Entity Type | Individual |
| Full Name | MATTHEW GLEN BERARDI |
| Credential | OD |
| Practice Address |
3208 Husky Hwy Farmington WV 26571-8122 |
| Practice Telephone | 3048256364 |
| Practice Fax Number | 3048256750 |
| Mailing Telephone | (304) 825-6364 |
| Mailing Fax Number | 3048256750 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2017-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 830-D | WV | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810007303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568768851 | Matthew William Berardi | Chiropractor | 1313 Dekalb St, Norristown, PA 19401-3403 | 2011-02-03 |
| Street Address |
3208 HUSKY HWY |
| City | FARMINGTON |
| State | WV |
| Zip Code | 26571-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982982625 | Westover Eye Associates Pllc | Optometrist | 3208 Husky Hwy, Farmington, WV 26571-8122 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003667 | Norma Lucille Devericks | Technician | 173 Horseshoe Rd, Farmington, WV 26571 | 2020-08-14 |
| 1649772351 | Med-mart Pharmacy LLC | Pharmacy | 100 Main Street, Farmington, WV 26571 | 2018-03-08 |
| 1396946570 | John Manchin II & John Manchin IIi | Chiropractor | 100 Main St, Farmington, WV 26571 | 2007-05-29 |
| 1326122060 | John Manchin IIi | Pharmacy | 1021 Main St, Farmington, WV 26571 | 2006-10-25 |
| 1134231640 | John Manchin II | Family Medicine | 100 Main St, Farmington, WV 26571 | 2006-08-31 |
| 1124299813 | Angela M Hager | Physician Assistant | 100 Main St, Farmington, WV 26571-0029 | 2008-03-20 |
| 1578670139 | Stephen Girard Sinclair | Dentist | 1021 Main St, Manchin Clinic 3rd Flr, Farmington, WV 26571-0510 | 2006-08-23 |
| 1093326191 | Richard William Ours | Technician | 9 Top St, Farmington, WV 26571-7903 | 2020-08-12 |
| 1093316333 | Barbara J Dadisman | Technician | 364 Parrish Run Rd, Farmington, WV 26571-8097 | 2020-11-03 |
| 1336740018 | Helen K Morrison | Technician | 364 Parrish Run Rd, Farmington, WV 26571-8097 | 2020-11-08 |
| Find all providers in zip 26571 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750991345 | Connecticut Children's Eye Care, P.C. | Optometrist | 599 Farmington Ave Ste 201, Farmington, CT 06032-2356 | 2020-08-07 |
| 1689162133 | Daniel & Max LLC | Optometrist | 4906 E Main St, Farmington, NM 87402-8609 | 2018-04-30 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| 1164806782 | Heather Anita Zimmerman | Optometrist | 101 New Meadow Run Drive, Oak Valley Medical and Dental, PC, Farmington, PA 15437-0010 | 2015-07-14 |
| 1134522493 | Amanda Colburn | Optometrist | 113 W. Broadway, Farmington, NM 87401 | 2014-10-01 |
| 1194124453 | Eyedocare,corp | Optometrist | 500 Westfarms Mall, Farmington, CT 06032-2615 | 2014-08-22 |
| 1154762516 | Steven Saramanidis | Optometrist | 2 Horseshoe Ln, Farmington, CT 06032-2106 | 2013-07-15 |
| 1295966927 | Megan Lynn Crowell | Optometrist | 537 W Karsch Blvd, Farmington, MO 63640-3312 | 2009-07-29 |
| 1225203276 | Bob Hollis Lype | Optometrist | 544 Maple Valley Dr, Farmington, MO 63640-1981 | 2008-04-29 |
| 1700075843 | Skyview Eyecare Inc | Optometrist | 3450 E Main St, Farmington, NM 87402-5327 | 2007-10-15 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 26571 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.