AMY J BERG (NPI# 1013028224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013028224 |
| Entity Type | Individual |
| Full Name | AMY J BERG |
| Credential | OD |
| Practice Address |
4875 Altama Ave Brunswick GA 31520-2912 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 9125540010 |
| Practice Fax Number | 9125540075 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 8667954020 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002914 | GA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2523 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 967725900 | 05 | |
| MN | MEDICA | 22/02562 | 01 |
| MN | BCBS | 513T3BE | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4875 Altama Ave, Brunswick, GA 315202912 | 9125540010 | |
| 2824 W Division St, St Cloud, MN 56301 | 3202532020 | 3202516886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073039533 | Amy Lorrita Berg | Midwife, Lay | 910 Aster St, Escondido, CA 92027-1648 | 2017-08-16 |
| 1538571203 | Amy Berg | Registered Nurse | 11916 Hillside Ave, Apt. 3r, Richmond Hill, NY 11418-1824 | 2014-05-28 |
| 1669500807 | Amy Berg | Social Worker | 100 La Salle St, Apt. 11b, New York, NY 10027-4703 | 2007-03-01 |
| 1306860267 | Amy Berg | Physical Therapist | 101 Towne Square Way, Suite 281, Pittsburgh, PA 15227-3259 | 2006-07-26 |
| 1205204799 | Amy Berg | Nurse Practitioner | 125 Sw C St, Madras, OR 97741-1458 | 2015-09-14 |
| 1477898617 | Amy Landrum Schlater Berg | Occupational Therapist | 2445 3rd Ave S, Seattle, WA 98134-1923 | 2012-11-28 |
| 1477623072 | Amy Michelle Berg | Marriage & Family Therapist | 880 Se 82nd Drive, Gladstone, OR 97027 | 2006-11-09 |
| Street Address |
4875 ALTAMA AVE |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023070588 | Samantha Kelly-seltzer | Optometrist | 4875 Altama Ave, Brunswick, GA 31520-2912 | 2006-04-03 |
| 1871047613 | Ryan Kwan | Optometrist | 4875 Altama Ave, Brunswick, GA 31520-2912 | 2016-08-10 |
| 1043355605 | Myeyedr Optometry of Georgia, LLC | Optometrist | 4875 Altama Ave, Brunswick, GA 31520-2912 | 2007-02-21 |
| 1174690861 | Bruce S. Goldin | Optometrist | 4875 Altama Ave, Brunswick, GA 31520-2912 | 2006-11-29 |
| 1528086147 | John Robert Zechmann | Optometrist | 4875 Altama Ave, Brunswick, GA 31520-2912 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1992058234 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 3303 Glynn Avenue, Brunswick, GA 31520-4406 | 2012-10-24 |
| 1548438260 | Paul H Heavner | Optometrist | 60 Souder Road, Brunswick Family Vision Center, Brunswick, MD 21716 | 2008-02-15 |
| 1588843080 | Carolyn V Ormes | Optometrist | 15 E Potomac St, Brunswick, MD 21716-1409 | 2007-10-31 |
| 1376741538 | Seema Bhula | Optometrist | 149 Altama Connector, Brunswick, GA 31525-1853 | 2007-07-10 |
| 1912087636 | Brian L Daniels | Optometrist | 331 Maine St., Suite 1, Brunswick, ME 04011-3359 | 2006-10-17 |
| 1366540007 | John E Imhoff Md PC | Optometrist | 3215 Shrine, Suite 6, Brunswick, GA 31520 | 2006-09-20 |
| 1861596884 | Matthew David Grucella | Optometrist | 1333 N Carpenter Rd, Brunswick, OH 44212-3178 | 2006-09-11 |
| 1235241464 | William C Everett | Optometrist | 120 Commerce Dr, Suite 100, Brunswick, GA 31525-1890 | 2006-09-01 |
| 1154346088 | Sara E Phelps | Optometrist | 3303 Glynn Ave, Brunswick, GA 31520-4406 | 2006-07-13 |
| 1023070588 | Samantha Kelly-seltzer | Optometrist | 4875 Altama Ave, Brunswick, GA 31520-2912 | 2006-04-03 |
| Find all providers in BRUNSWICK | ||||
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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.