Provider Demographics
NPI:1528541141
Name:BERG & FLORIO OD PA JOHNSON CITY
Entity Type:Organization
Organization Name:BERG & FLORIO OD PA JOHNSON CITY
Other - Org Name:JOHNSON CITY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORIO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:830-868-0327
Mailing Address - Street 1:213 S HIGHWAY 281
Mailing Address - Street 2:SUITE A
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78636
Mailing Address - Country:US
Mailing Address - Phone:830-868-0327
Mailing Address - Fax:
Practice Address - Street 1:213 S HIGHWAY 281
Practice Address - Street 2:SUITE A
Practice Address - City:JOHNSON CITY
Practice Address - State:TX
Practice Address - Zip Code:78636
Practice Address - Country:US
Practice Address - Phone:830-868-0327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6568TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty