Mark Daniel Berry, is a
Student In An Organized Health Care Education/training Program physician based in Lubbock, Texas. Mark Daniel Berry is licensed to practice in Texas (license number BP10080216) and his current practice location is Department Of Ophthalmology 3601 4th St, Lubbock, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 743-2020.
NPI number for Mark Daniel Berry is 1639817497 and his current mailing address is Department Of Ophthalmology 3601 4th St, Lubbock, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639817497.
Physician's Profile
| Full Name | Mark Daniel Berry |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Department Of Ophthalmology 3601 4th St, Lubbock, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639817497
- Provider Enumeration Date: 05/23/2022
- Last Update Date: 04/12/2026
Medical Identifiers
Medical identifiers for Mark Daniel Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639817497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | W4419 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | BP10080216 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Daniel Berry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Daniel Berry,
Department Of Ophthalmology 3601 4th St,
Lubbock, TX 79430-0001
Ph: (806) 743-2020 | Mark Daniel Berry,
Department Of Ophthalmology 3601 4th St,
Lubbock, TX 79430-0001
Ph: (806) 743-2020 |
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