DR. RONALD MARK BERGER O.D. NPI 1063448983

NPI Information

  • NPI: 1063448983
  • Provider Name: DR. RONALD MARK BERGER, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5012 DORSEY HALL DR
    SUITE 105
    ELLICOTT CITY, MD
    ZIP 21042
  • Phone: (410) 730-8878

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NPI Details

DR. Ronald Mark Berger, O.D. is an optometrist in Ellicott City, MD with 50 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Ronald Mark Berger, O.D. NPI is 1063448983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year:1975

The provider's business location address is:

5012 DORSEY HALL DR
SUITE 105
ELLICOTT CITY, MD
ZIP 21042-711
Phone: (410) 730-8878
Fax: (410) 997-8272

The NPI 1063448983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam to measure eye deviation and range of motion (HCPCS:92060)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 3/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementTA0679MARYLANDNo
2152WP0200XOptometristPediatricsTA0679MARYLANDNo
3152WS0006XOptometristSports VisionTA0679MARYLANDNo
4152WV0400XOptometristVision TherapyTA0679MARYLANDNo
5152W00000XOptometristTA0679MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T59931MEDICARE UPINMARYLAND
2269818800MEDICAIDMARYLAND
3617M100FMEDICARE ID-TYPE UNSPECIFIEDMARYLAND
45700600001MEDICARE NSCMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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