Amy J Berg
Optometrist
5809 Leesburg Pike
Falls Church
, Virginia 22041-2301
Amy J Berg
Optometrist
5809 Leesburg Pike
Falls Church
, Virginia 22041-2301
(866) 795-4020
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Amy J Berg
- 1950 Old Gallows Rd Ste 520
- Vienna, VA
- Zip : 22182-3970
- Fax : (866) 795-4020
- Phone : (703) 847-8899
Second Address
- Amy J Berg
- 5809 Leesburg Pike
- Falls Church, VA
- Zip : 22041-2301
- Fax : (571) 291-6081
- Phone : (571) 290-6080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 618002108 | VA |
National Provider Identifier
| NPI | 1013028224 |
|---|---|
| Provider Name | Amy J Berg |
| First Address | Vienna, VA 22182-3970 |
| Second Address | Falls Church, VA 22041-2301 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 28/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 22/02562 | MEDICA (01) | MN |
| 456743 | (02) | |
| 513T3BE | BCBS (01) | MN |
| 967725900 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.