DR. WILLIAM BERT JR. BERK (O.D.) – Optometrist, NPI 1275630808

DR. WILLIAM BERT JR. BERK (O.D.) is a healthcare provider. based in Happy valley, Oregon. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 1623ATI (OR). The NPI Number for DR. WILLIAM BERT JR. BERK (O.D.) is 1275630808

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM BERT JR. BERK (O.D.)
NPI
1275630808
Phone
(503) 698-2375
Address
13180 SE 169TH AVE STE 104
Enumeration Date
17 September 2006
Last Update Date
14 August 2018

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5032522375
Graduation Year
1981 (45 years ago)
PAC ID
8022184860
Group Practice PAC ID
0143291161
Professional Enrollment ID
I20100922000580
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. WILLIAM BERT JR. BERK (O.D.)

  • Southeast 169th Avenue, Happy Valley, Metro, Clackamas County, Oregon, 97089, United States

    HAPPY VALLEY, OR 970868727

    Phone: (503) 698-2375

    Fax: (503) 698-3398

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$32
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100922000580IOptometryORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143291161View full group profile
NameSpecialtyState
-OR

Reviews

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Frequently asked questions

Does DR. WILLIAM BERT JR. BERK (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. WILLIAM BERT JR. BERK (O.D.) uses 1275630808.
Can I rely on DR. WILLIAM BERT JR. BERK (O.D.) being an active provider?
As of the registry snapshot, DR. WILLIAM BERT JR. BERK (O.D.) is marked active.
What is DR. WILLIAM BERT JR. BERK (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. WILLIAM BERT JR. BERK (O.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. WILLIAM BERT JR. BERK (O.D.) list a practice location?
Patients near Happy Valley, Oregon may find DR. WILLIAM BERT JR. BERK (O.D.) in results; validate coverage separately.
Is the information about DR. WILLIAM BERT JR. BERK (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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