DAWN BERARDI (NPI# 1487754289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487754289 |
Entity Type | Individual |
Full Name | DAWN BERARDI |
Credential | OPTICAIN |
Practice Address |
9601 Mall Rd Morgantown WV 26501 |
Mailing Address |
406 Buckeye Rd Core WV 26529 |
Practice Telephone | 3049836680 |
Practice Fax Number | 3049836681 |
Mailing Telephone | 3049836680 |
Mailing Fax Number | 3049836681 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
784567 | WV | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810003788 | 05 |
Street Address |
9601 MALL RD |
City | MORGANTOWN |
State | WV |
Zip Code | 26501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245667054 | Berardi Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 9601 Mall Rd, Morgantown, WV 26501-8540 | 2013-10-11 |
1144359159 | Rory Wayne Simpson | Optometrist | 9601 Mall Rd, Morgantown, WV 26501-8540 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
Find all providers in zip 26501 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598841827 | Wal-mart Stores East, Lp | Technician/Technologist | 6051 University Town Centre Dr., Morgantown, WV 26534 | 2006-10-30 |
1154412724 | Sam's Club Optical | Technician/Technologist | 6001 University Town Centre Dr., Morgantown, WV 26534 | 2006-09-27 |
1306324595 | Barbara Jean Hess | Technician/Technologist | 1 Stadium Dr, Morgantown, WV 26506-7900 | 2018-07-31 |
1013218080 | Parker James Doty | Technician/Technologist | 3142 Collins Ferry Rd, Morgantown, WV 26505-3352 | 2010-11-08 |
1285869230 | Diane Marie Byrd | Technician/Technologist | 3142 Collins Ferry Rd, Morgantown, WV 26505-3352 | 2009-05-20 |
1396858189 | Wal-mart Stores East, Lp | Technician/Technologist | 75 Retail Cir, Morgantown, WV 26508-1646 | 2006-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
1154585941 | Mary Jane Tudor | Technician/Technologist | 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 | 2008-07-11 |
1871763862 | Wayne Dougherty Dba Wheeling Optical | Technician/Technologist | 1101 Market Street, Wheeling, WV 26003-2905 | 2008-03-05 |
1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
1033240429 | Wal-mart Stores East, L.p. | Technician/Technologist | 1 Tygart Valley Mall, Fairmont, WV 26554-3430 | 2007-03-08 |
1588711873 | Melvin Leroy Mckinney Sr. | Technician/Technologist | 605 Bland St, Bluefield, WV 24701 | 2007-01-05 |
1922178474 | Tea Vision Inc | Technician/Technologist | 5 Putnam Villiage, Teays, WV 25569 | 2006-11-09 |
1356410849 | Jennifer L Field | Technician/Technologist | 10565 Veterans Memorial Highway, Masontown, WV 26542-9577 | 2006-11-07 |
1235210212 | Wal-mart Stores East, Lp | Technician/Technologist | 1881 Robert C Byrd Dr, Beckley, WV 25801-8355 | 2006-10-18 |
1972690311 | Rebecca A. Lake | Technician/Technologist | 612 Rosebud Plz, Clarksburg, WV 26301-9386 | 2006-10-06 |
Find all providers with the same taxonomy |
City | MORGANTOWN |
Zip Code | 26501 |
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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.