MRS. SUSAN M BERRY M.D. NPI 1154429868

NPI Information

  • NPI: 1154429868
  • Provider Name: MRS. SUSAN M BERRY, M.D.
  • Classification: Ophthalmology - 207WX0110X
  • Specialization: Pediatric Ophthalmology and Strabismus Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11601 TOEPPERWEIN RD
    LIVE OAK, TX
    ZIP 78233
  • Phone: (210) 946-2020

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NPI Details

MRS. Susan M Berry, M.D. is a pediatric ophthalmology and strabismus specialist ophthalmology in Live Oak, TX with 40 years of experience. The provider is an ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. MRS. Susan M Berry, M.D. NPI is 1154429868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1986

The provider's business location address is:

11601 TOEPPERWEIN RD
LIVE OAK, TX
ZIP 78233-147
Phone: (210) 946-2020

The NPI 1154429868 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), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/10/2025.

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
1207W00000XOphthalmologyH1990TEXASNo
2207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus SpecialistH1990TEXASYes

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
1126420201MEDICAIDTEXAS

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: 11/21/2025

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