Organization
DR. ELIZABETH PROKOS BERRY
Active
Other names
Sturbridge Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PROKOS BERRY O.D. (OPTOMETRIST/ OWNER)
(508) 347-7309
Entity
Organization
Contact information
Practice address
135 MAIN ST, SUITE 5, STURBRIDGE, MA 01566-1569
(508) 347-7309
(508) 347-7451
Mailing address
135 MAIN ST, SUITE 5, STURBRIDGE, MA 01566-1569
(508) 347-7309
(508) 347-7451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA3274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371050
—
MA
Enumeration date
03/30/2015
Last updated
03/30/2015
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