MR. DOUGLAS T BERGER (NPI# 1992862163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992862163 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS T BERGER |
| Credential | OPTICIAN |
| Practice Address |
2169 White Plains Rd Bronx NY 10462-1405 |
| Mailing Address |
160 Sherman Ave Teaneck NJ 07666-4123 |
| Practice Telephone | 7184092200 |
| Mailing Telephone | 9175537708 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
C005104-1 | NY | Eye and Vision Services Providers |
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
C005104-1 | NY | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
C005104-1 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00960458 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594615 | Douglas Marc Berger | Psychiatry & Neurology | 8891 Majorca Bay Dr, Lake Worth, FL 33467-6925 | 2019-12-06 |
| 1295748762 | Douglas B Berger | Internal Medicine | 1660 S Columbian Way, Primary Care Clinic (s-111-pcc), Seattle, WA 98108-1532 | 2006-08-14 |
| Street Address |
2169 WHITE PLAINS RD |
| City | BRONX |
| State | NY |
| Zip Code | 10462-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245313956 | Dillon Kirshenbaum Peruso Lli | Dentist | 2169 White Plains Rd, Bronx, NY 10462-1405 | 2006-10-24 |
| 1932328382 | Dimitri Papadopoulos | Dentist | 2169 White Plains Rd, Bronx, NY 10462-1405 | 2007-04-24 |
| 1861537623 | Leslie B Cohen | Optometrist | 2169 White Plains Rd, Bronx, NY 10462-1405 | 2007-02-20 |
| 1003973223 | Creston Opticians Inc | Optometrist | 2169 White Plains Rd, Bronx, NY 10462-1405 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750879169 | National Vision, Inc. | Technician/Technologist | 90 W 225th St, Bronx, NY 10463-7002 | 2018-05-01 |
| 1083025449 | Discount Optical Outlet Inc | Technician/Technologist | 3509 White Plains Rd, Bronx, NY 10467-5705 | 2014-05-19 |
| 1811311061 | Tremont Opticians | Technician/Technologist | 864 E Tremont Ave, Bronx, NY 10460-4201 | 2014-02-08 |
| 1023325107 | Howard Randolph Ellison II | Technician/Technologist | 132 E Fordham Rd, Bronx, NY 10468-5408 | 2010-09-09 |
| 1972734150 | Usv Optical Inc. | Technician/Technologist | 610 Exterior Street, Bronx, NY 10451 | 2009-08-05 |
| 1750563391 | Delvia I Moquete | Technician/Technologist | 54 West Burnside Ave, Bronx, NY 10453-4018 | 2007-12-05 |
| 1083808778 | Manuel Berrios | Technician/Technologist | 4555 3rd Ave, Bronx, NY 10458-7805 | 2007-09-05 |
| 1114048709 | Galina Orloff | Technician/Technologist | 3120 Bainbridge Ave, Bronx, NY 10467-3958 | 2007-04-02 |
| 1417092313 | My Optician Nyc Corp | Technician/Technologist | 5227 Broadway, Bronx, NY 10463-7636 | 2007-02-20 |
| 1801964770 | Guillermo Ysmael Reyes | Technician/Technologist | 54 W Burnside Ave, Bronx, NY 10453-4018 | 2006-11-30 |
| Find all providers in BRONX | ||||
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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.