Organization
VISION CONSULTANTS PLLC
Active
Organization
VISION CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRIAN BERES MD (OWNER)
(304) 792-1480
Entity
Organization
Contact information
Practice address
77 HOSPITAL DR, SUITE 400, LOGAN, WV 25601-3451
(304) 792-1480
Mailing address
PO BOX 116, LOGAN, WV 25601
(304) 792-1480
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20176
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705979
BLUE CROSS BLUE SHIELD
WV
01
—
180045749
RR MEDICARE
WV
05
—
1802361001
—
WV
01
—
226977
COVENTRY HEALT
—
01
—
562873
STERLING LIFE
—
Enumeration date
09/28/2006
Last updated
12/06/2023
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