Elizabeth Prokos Berry

LBN: Elizabeth Prokos Berry
Elizabeth Prokos Berry is an health care organization with primary practice located at 135 Main St , Sturbridge MA 01566-1569. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Elizabeth Prokos Berry can be contacted via phone (508) 347-7309, or through Berry, Elizabeth Prokos via phone (508) 347-7309.

Contact Information

Primary practice address
135 Main St Sturbridge MA 01566-1569
Phone: (508) 347-7309
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berry, Elizabeth Prokos Doctor of Optometry (OD)
Phone: (508) 347-7309

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 3274 Massachusetts

Profile Details

NPI number 1831376714
LBN Legal business name Elizabeth Prokos Berry
DBA Doing business as
Authorized official Berry, Elizabeth Prokos Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2008
Last updated Apr 10th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831376714 NPPES
Massachusetts MEDICAID 0371050

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