PHILIP BERRY OD

MYEYEDR OPTOMETRY OF MARYLAND LLC

Dr PHILIP BERRY OD is a male medical professional, specializing in Optometry. He graduated in 1988 from New England College Of Optometry.

Contact

MYEYEDR OPTOMETRY OF MARYLAND LLC

2936 FESTIVAL WAY
SUITE 409A
WALDORF
MD
206012957

Tel: 3017106919

PHILIP BERRY OD Information

Npi 1548361124
Pac Id 0446200315
Professional Enrollment Id I20151214002620
Last Name BERRY
First Name PHILIP
Middle Name
Suffix
Gender M
Credential OD
Medical School Name NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year 1988
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MYEYEDR OPTOMETRY OF MARYLAND LLC
Group Practice Pac Id 6002037629
Number Of Group Practice Members 47
Line 1 Street Address 2936 FESTIVAL WAY
Line 2 Street Address SUITE 409A
Marker Of Address Line 2 Suppression
City WALDORF
State MD
Zip Code 206012957
Phone Number 3017106919
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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