Bert, Michael Patrick
Bert, Michael Patrick is an sole proprietor health care provider with primary practice located at 142 Linden Dr Ste 108 , Winchester VA 22601-6901. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bert, Michael Patrick can be contacted via phone (540) 722-6200.Contact Information
Primary practice address
142 Linden Dr Ste 108
Winchester VA 22601-6901
Phone: (540) 722-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008894 | Illinois |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046-008894 | Illinois |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 046-008894 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618002853 | Virginia |
Profile Details
| NPI number | 1306844261 |
|---|---|
| LBN Legal business name | Bert, Michael Patrick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Oct 24th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306844261 | NPPES |
| Illinois | Other | 0004923362 | BC/BS PROVIDER NUMBER |
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