Provider Demographics
NPI:1447586953
Name:BERG & FLORIO OD PA DRIPPING SPRINGS
Entity Type:Organization
Organization Name:BERG & FLORIO OD PA DRIPPING SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-454-4401
Mailing Address - Street 1:433 SPORTSPLEX DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-5358
Mailing Address - Country:US
Mailing Address - Phone:512-858-0020
Mailing Address - Fax:512-858-2720
Practice Address - Street 1:433 SPORTSPLEX DR
Practice Address - Street 2:SUITE 100
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5358
Practice Address - Country:US
Practice Address - Phone:512-858-0020
Practice Address - Fax:512-858-2720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0A5405Medicare PIN