Kevin Craig Berg is a Optometrist in Wasilla, Alaska. Kevin Craig Berg practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin Craig Berg is 1629247820. The last update date is 2008-03-11.
Kevin Craig Berg's current location address is 1350 S Seward Meridian Pkwy, Wasilla, Alaska. You can contact this provider via phone number 9073760835 and fax number 9073760843. The mailing address for Kevin Craig Berg is 1350 S Seward Meridian Pkwy, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Craig Berg |
|---|---|
| Address | 1350 S Seward Meridian Pkwy, Wasilla, Alaska |
| Phone Number | 9073760835 |
| Fax Number | 9073760843 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1629247820 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2008-03-11 |
Provider Mailing Address Detail
| Address | 1350 S Seward Meridian Pkwy |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996548332 |
| Phone Number | 9073760835 |
| Fax Number | 9073760843 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 104 |
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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 |
|---|---|---|---|
| OD1144 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Craig Berg by the Centers for Medicare & Medicaid Services?
The Kevin Craig Berg has been assigned the NPI (National Provider Identifier) 1629247820. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kevin Craig Berg is geographically located?
The Kevin Craig Berg is physically situated at the following location: 1350 S Seward Meridian Pkwy, Wasilla, AK, 996548332.
What is the area of specialization for Kevin Craig Berg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Craig Berg is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629247820 to Kevin Craig Berg?
The Centers for Medicare & Medicaid Services assigned the 1629247820 to Kevin Craig Berg on 2008-02-21.
As of what date were the Kevin Craig Berg's details last updated?
The information pertaining to the Kevin Craig Berg, including its address, specialty, and other details, was most recently updated on 2008-03-11.