EVAN M BERGER (NPI# 1356769731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356769731 |
| Entity Type | Individual |
| Full Name | EVAN M BERGER |
| Practice Address |
3235 Academy Ave Ste 200 Portsmouth VA 23703-3200 |
| Practice Telephone | 7573977858 |
| Mailing Telephone | 7573977858 |
| Mailing Fax Number | 7576736832 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
0101270075 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Gresham Dr, Evms Ophthalmology, Norfolk, VA 235071904 | 7573880324 | 7573880355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032204 | Evan R Berger | Specialist | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2005-06-08 |
| 1326501446 | Evan Berger | Student in an Organized Health Care Education/Training Program | 2601 Ocean Pkwy, Brooklyn, NY 11235-7745 | 2019-04-08 |
| Street Address |
3235 ACADEMY AVE STE 200 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154550879 | Tidewater Eye Centers | Ophthalmology | 3235 Academy Ave Ste 200, Portsmouth, VA 23703 | 2009-07-02 |
| 1194211482 | Chelsea Shelton | Technician/Technologist | 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 | 2018-07-10 |
| 1366771024 | Joy C Tomko | Optometrist | 3235 Academy Ave Ste 200, Portsmouth, VA 23703 | 2009-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265691141 | Kori A Elkins | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462047 | Amir H Hariri | Ophthalmology | 9702 Stanton Dr, Fairfax, VA 22031-3555 | 2019-05-14 |
| 1467910554 | Samuel H Yun Ophthalmology Plc | Ophthalmology | 3959 Pender Dr Ste 260, Fairfax, VA 22030-6041 | 2019-03-07 |
| 1770993081 | Virginia Retina Consultants, Plc | Ophthalmology | 540 Lew Dewitt Blvd, Suite 5, Waynesboro, VA 22980-1665 | 2014-05-08 |
| 1700976834 | Virginia Retina Consultants, Plc | Ophthalmology | 600 Peter Jefferson Pkwy Ste 350, Charlottesville, VA 22911-8836 | 2006-10-12 |
| 1235172461 | Andy Hay | Ophthalmology | 8717 Digges Road, Manassas, VA 20110 | 2006-06-14 |
| 1770943565 | Virginia Retina Specialists | Ophthalmology | 6400 Arlington Blvd., Suite 600, Falls Church, VA 22042-2349 | 2016-03-07 |
| 1033485065 | Brittany Elizabeth Powell | Ophthalmology | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2012-03-23 |
| 1275783235 | Advanced Retina Center, Lc | Ophthalmology | 8233 Old Courthouse Rd, Suite 300, Vienna, VA 22182-3816 | 2008-09-26 |
| 1467635862 | Jason P Ruggiero | Ophthalmology | 190 Campus Blvd, Suite 320, Winchester, VA 22601-2872 | 2007-12-10 |
| 1750353140 | John Bocock Carter | Ophthalmology | 190 Campus Blvd, Sute 320, Winchester, VA 22601-2872 | 2006-02-02 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
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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.