MIKE BERRY'S OPTICIANS INC. (NPI# 1568505949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568505949 |
| Entity Type | Organization |
| Organization Name | MIKE BERRY'S OPTICIANS INC. |
| Practice Address |
1459 Montreal Rd Suite 100 Tucker GA 30084-6900 |
| Practice Telephone | 7706219828 |
| Practice Fax Number | 7706219828 |
| Mailing Telephone | 7706219828 |
| Mailing Fax Number | 7706219828 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | MR. MICHAEL DAVISON BERRY (PRESIDENT) |
| Authorized Official Telephone | 7706219828 |
| Authorized Official Credential | LDO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 825 | GA | Suppliers |
| Street Address |
1459 MONTREAL RD SUITE 100 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100609 | Ralph Robert Beton | Specialist | 1459 Montreal Rd, Su 204, Tucker, GA 30084-6900 | 2005-08-03 |
| 1306463807 | Yvette Danielle Fitzgerald | Physical Therapist | 1459 Montreal Rd, Tucker, GA 30084-6900 | 2020-06-30 |
| 1164835005 | Eleni Andria Footman | Internal Medicine | 1459 Montreal Rd, Tucker, GA 30084 | 2014-06-09 |
| 1467769992 | Stephen H. Knight M.d. | Ophthalmology | 1459 Montreal Rd, Ste 501, Tucker, GA 30084 | 2010-09-03 |
| 1164671707 | Ashley Nicole Boachie-adjei | Physician Assistant | 1459 Montreal Rd, Tucker, GA 30084-6900 | 2008-09-18 |
| 1982803995 | Lisa Anne Swift | Nurse Practitioner | 1459 Montreal Rd, Suite 207, Tucker, GA 30084-6900 | 2007-07-11 |
| 1497958409 | Northeast Atlanta Associates In Gastroenterology | Specialist | 1459 Montreal Rd, Su 204, Tucker, GA 30084-6900 | 2007-06-07 |
| 1194926949 | Jamie Miner | Physical Therapist | 1459 Montreal Rd, Suite 207, Tucker, GA 30084-6900 | 2007-05-30 |
| 1154448967 | Ali M Mohamed | Internal Medicine | 1459 Montreal Rd, Ste 312, Tucker, GA 30084-6900 | 2007-03-25 |
| 1427183243 | Izabella Verbitsky | Internal Medicine | 1459 Montreal Rd, Suite 304, Tucker, GA 30084 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639340557 | Paul J Glass | Eyewear Supplier (Equipment, not the service) | 2163 Northlake Pkwy, Ste 102, Tucker, GA 30084-4102 | 2008-03-19 |
| 1235289331 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 4104 La Vista Road, Tucker, GA 30084 | 2007-01-11 |
| 1619909470 | Mark Lynn Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 4153 La Vista, Suite C, Tucker, GA 30084-5344 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021234 | Bianca Horton Holmes | Eyewear Supplier (Equipment, not the service) | 1085 Buckingham Ter, Fairburn, GA 30213-6481 | 2020-10-20 |
| 1649887886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 331 Newnan Crossing Byp, Newnan, GA 30265-1067 | 2020-09-30 |
| 1407461700 | United Vision Plans Inc | Eyewear Supplier (Equipment, not the service) | 669 Longwood Dr Nw, Atlanta, GA 30305-3903 | 2020-09-14 |
| 1518513613 | Hendrix Eye Clinic, LLC | Eyewear Supplier (Equipment, not the service) | 864 Central Ave, Demorest, GA 30535-5534 | 2019-08-14 |
| 1093375503 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 40 Fischer Crossings Dr, Sharpsburg, GA 30277 | 2019-06-17 |
| 1255814893 | For Eyes Optical Co. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 5130 Peachtree Pkwy Ste 630, Peachtree Corners, GA 30092-2525 | 2018-09-10 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1538686894 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 274 Buckhead Ave Ne, Atlanta, GA 30305-2208 | 2017-08-28 |
| 1619494978 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1198 Howell Mill Rd Nw Ste 300, Atlanta, GA 30318-5626 | 2017-08-28 |
| 1508317587 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8000 Mall Pkwy, Lithonia, GA 30038-2542 | 2016-10-14 |
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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.