MEDICARE: BERG & FLORIO OD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1811159809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERG & FLORIO OD PA

Provider Business Mailing Address
First Line	:	6406 NORTH IH 35
Second Line	:	SUITE 1250
City	:	AUSTIN
State	:	TX
Zip	:	78752
Country	:	US
Telephone Number	:	512-454-4401
Fax Number	:	512-458-4018

Provider Business Practice Location Address
First Line	:	6406 NORTH IH 35
Second Line	:	SUITE 1250
City	:	AUSTIN
State	:	TX
Zip	:	78752
Country	:	US
Telephone Number	:	512-454-4401
Fax Number	:	512-458-4018

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SARAH E BERG
Credential	:	OD
Telephone Number	:	512-454-4401

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	08/26/2009

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Directions to “BERG & FLORIO OD PA ” Practice Location

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