Kevin C. Berg, O.D., Llc

LBN: Kevin C. Berg, O.D., Llc
Kevin C. Berg, O.D., Llc is an health care organization with primary practice located at 1350 S Seward Meridian Pkwy , Wasilla AK 99654-8332. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kevin C. Berg, O.D., Llc can be contacted via phone (907) 376-0835, or through Berg, Kevin Craig via phone (907) 376-0835.

Contact Information

Primary practice address
1350 S Seward Meridian Pkwy Wasilla AK 99654-8332
Phone: (907) 376-0835
Fax: (907) 376-0843
Website:
Map and Directions
Authorized official contact:
Name: Berg, Kevin Craig Doctor of Optometry (OD)
Phone: (907) 376-0835

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 104 Alaska

Profile Details

NPI number 1881660207
LBN Legal business name Kevin C. Berg, O.D., Llc
DBA Doing business as
Authorized official Berg, Kevin Craig Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2006
Last updated Mar 11th, 2008 - about 16 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 1881660207 NPPES
Alaska MEDICAID OD1144

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