KEVIN C. BERG, O.D., LLC


Address: 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332
Phone: 9073760835

KEVIN C. BERG, O.D., LLC (NPI# 1881660207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881660207
Entity Type Organization
Organization Name KEVIN C. BERG, O.D., LLC
Practice Address 1350 S Seward Meridian Pkwy
Wasilla
AK 99654-8332
Practice Telephone 9073760835
Practice Fax Number 9073760843
Mailing Telephone 9073760835
Mailing Fax Number 9073760843
Enumeration Date 2006-02-25
Last Update Date 2008-03-11
Authorized Official Name KEVIN CRAIG BERG (OWNER)
Authorized Official Telephone 9073760835
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 104 AK Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK OD1144 05

Office Location

Street Address 1350 S SEWARD MERIDIAN PKWY
City WASILLA
State AK
Zip Code 99654-8332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104432715 Saniye Nur Zen Stevens Pharmacist 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 2020-09-18
1992197362 Justin Elliot Profitt Pharmacist 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 2015-02-23
1639422967 Mark Clafshenkel Pharmacist 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 2012-10-24
1659622736 Mary Jane Allen Pharmacist 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 2012-09-28
1811248578 Seth Dye Pharmacist 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 2012-09-20
1629247820 Kevin Craig Berg Optometrist 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 2008-02-21
1336166644 Walmart Inc. Durable Medical Equipment & Medical Supplies 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 2006-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003426784 Colleen Maggie Newcity Case Manager/Care Coordinator 851 Westpoint Suite 310, Wasilla, AK 99654 2020-08-06
1659995884 Amy M Lowe Peer Specialist 1363 W Spuce Ave, Wasilla, AK 99654 2020-06-03
1922648690 Achieve Medical Alaska LLC Clinic/Center 1981 E Palmer, Suite 230, Wasilla, AK 99654 2020-01-10
1588205538 Juan Carlos Garcia Physician Assistant 950 East Bogard Road, Suite 103, Wasilla, AK 99654 2019-10-01
1427610864 Sharon Webb Counselor 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 2019-07-06
1306401864 Logan Lee Cook Peer Specialist 2953 E Fairview Loop, Wasilla, AK 99654 2019-05-09
1053883595 Moose Creek Medical Clinic LLC Nurse Practitioner 2341 S. Fern St., Suite 300, Wasilla, AK 99654 2018-12-21
1487124962 Melissa A Stevens Massage Therapist 2201 W That Rd, Wasilla, AK 99654 2018-11-28
1609359561 Audrey E Beers Midwife 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 2018-09-07
1093297418 Karlee Janine Mccorry Occupational Therapist 613 S Knik-goose Bay Rd, Wasilla, AK 99654 2018-09-01
Find all providers in zip 99654

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942832183 Alexandra Jordan Louise Coon Optometrist 935 E Westpoint Dr Ste 207, Wasilla, AK 99654-7181 2020-02-05
1528503158 Eye Guys LLC Optometrist 285 E Parks Hwy, Wasilla, AK 99654-7039 2017-01-06
1063740363 Wolf Eye Center, Inc. Optometrist 4505 E Greenstreet Circle, Wasilla, AK 99654 2009-11-24
1164546313 Michael Sukkyu Kim Optometrist 1000 Seward Meridian Highway, Wasilla, AK 99654 2007-03-16
1194854604 Alaska Eye Care Centers, Apc Optometrist 1700 E Parks Hwy # 300, Wasilla, AK 99654-7352 2007-03-02
1376504035 Marilyn Holm Optometrist 1320 S Countrywood Dr, Wasilla, AK 99623-9228 2006-03-31
1144295809 Lynn J Coon Optometrist 935 E Westpoint Dr, Ste 207, Wasilla, AK 99654 2006-02-17
1730186867 Edward Carl Godnig Optometrist 285 E Parks Hwy Ste A, Wasilla, AK 99654-7039 2005-07-05
1992344923 Cap Eye LLC Optometrist 3122 E Meridian Park Loop, Wasilla, AK 99654-7255 2019-12-20
1063068328 Austin Anderson Optometrist 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 2019-08-13
Find all providers in WASILLA

Competitor

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City WASILLA
Zip Code 99654

Improve Information

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Dataset Information

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.

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