Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW GLEN BERARDI, OD
Active Sole ProprietorMATTHEW GLEN BERARDI, OD is a Optometrist healthcare provider located in FARMINGTON, West Virginia. NPI 1417022773 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FARMINGTON, WV
Registration Details
- NPI Number
- 1417022773
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2006 (19.539795305955 yrs)
- Last Updated
- Jul 21, 2022
- License
-
830-D (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3208 HUSKY HWYFARMINGTON, WV, 265718122Browse WV providers · Browse ZIP 26571
- Phone
- 3048256364
- Fax
- 3048256750
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.