Dr. Michael Patrick Bert
Optometrist Optomitrist - Low Vision Rehabilitation Optomitrist - Corneal and Contact Lenses
1910 1st St Ste 405
Highland Park
, Illinois 60035-3147
Dr. Michael Patrick Bert
Optometrist Optomitrist - Low Vision Rehabilitation Optomitrist - Corneal and Contact Lenses
1910 1st St Ste 405
Highland Park
, Illinois 60035-3147
(571) 223-6780
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
- Optomitrist - Low Vision Rehabilitation
Languages spoken
- English
Location
First Address
- Dr. Michael Patrick Bert
- 1950 Old Gallows Rd Ste 520
- Vienna, VA
- Zip : 22182-3970
- Fax : (571) 223-6780
- Phone : (703) 847-8899
Second Address
- Dr. Michael Patrick Bert
- 1910 1st St Ste 405
- Highland Park, IL
- Zip : 60035-3147
- Fax : (847) 432-5680
- Phone : (847) 432-5668
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 046-008894 | IL |
| Y | 152W00000X | Optometrist | 0618002853 | VA |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 046-008894 | IL |
| N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 046-008894 | IL |
National Provider Identifier
| NPI | 1306844261 |
|---|---|
| Provider Name | Dr. Michael Patrick Bert |
| First Address | Vienna, VA 22182-3970 |
| Second Address | Highland Park, IL 60035-3147 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2005 |
| Last Update Date | 12/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0004923362 | BC/BS PROVIDER NUMBER (01) | IL |
| U63379 | (02) | IL |
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.