Elizabeth Prokos Berry in Vienna - Optometrist
Elizabeth Prokos Berry - NPI 1356326532
Elizabeth Prokos Berry is a Optometrist in Vienna, Virginia. Elizabeth Prokos Berry practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Elizabeth Prokos Berry is 1356326532. The last update date is 2021-10-06.
Elizabeth Prokos Berry's current location address is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. You can contact this provider via phone number 7038478899 and fax number 5712236780. The mailing address for Elizabeth Prokos Berry is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Prokos Berry |
|---|---|
| Address | 1950 Old Gallows Rd Ste 520, Vienna, Virginia |
| Phone Number | 7038478899 |
| Fax Number | 5712236780 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1356326532 |
|---|---|
| Provider Enumeration Date | 2005-12-12 |
| Last Updated Date | 2021-10-06 |
Provider Mailing Address Detail
| Address | 1950 Old Gallows Rd Ste 520 |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221823970 |
| Phone Number | 7038478899 |
| Fax Number | 5712236780 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 3274 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W15758 | MA | BCBS | |
| 759056 | MA | TUFTS | |
| 371050 | MA | -- |
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What is the Elizabeth Prokos Berry's unique identification number?
The Elizabeth Prokos Berry has been assigned the NPI (National Provider Identifier) Number 1356326532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Elizabeth Prokos Berry's physical address?
The Elizabeth Prokos Berry is physically located at 1950 Old Gallows Rd Ste 520, in the city of Vienna, VA, with the postal code 221823970.
What is Elizabeth Prokos Berry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elizabeth Prokos Berry's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date was the 1356326532 assigned to Elizabeth Prokos Berry?
The Elizabeth Prokos Berry was issued its 1356326532 on 2005-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Elizabeth Prokos Berry most recently updated or refreshed?
The details pertaining to the Elizabeth Prokos Berry, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-06.