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MARK DANIEL BERRY
NPI 1639817497
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since May 23, 2022
DEPARTMENT OF OPHTHALMOLOGY 3601 4TH ST, LUBBOCK, TX 79430(806) 743-2020 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2026, May 18, 2023, May 23, 2022 (3 updates tracked since 2022).

About Mark Daniel Berry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK DANIEL BERRY (NPI 1639817497) is an individual student in an organized health care education/training program in Lubbock, Texas, licensed in Texas (BP10080216) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1639817497
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARK DANIEL BERRY
Location AddressDEPARTMENT OF OPHTHALMOLOGY 3601 4TH STLubbock, TX 79430-0001
Mailing AddressDepartment Of Ophthalmology 3601 4th StLubbock, TX 79430-0001 · (806) 743-2020
Phone(806) 743-2020
Sole ProprietorNo
Enumeration DateMay 23, 2022
Last NPPES UpdateApril 12, 20263 updates tracked since enumeration
NPPES CertifiedApril 12, 2026
✔ NPI 1639817497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10080216
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedOphthalmologyTaxonomy 207W00000X · License W4419 (TX)
DEPARTMENT OF OPHTHALMOLOGY 3601 4TH ST, Lubbock, TX 79430
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Berry's NPI number?

The NPI number for Mark Berry is 1639817497. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Mark Berry located?

Mark Berry practices at Department Of Ophthalmology 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 743-2020.

What is Mark Berry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mark Berry was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.