BERNER EYE CLINIC, INC
NPI 1902889165
Optometrist in Salt Lake City, UT
About Berner Eye Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERNER EYE CLINIC, INC (NPI 1902889165), doing business as Broadway Eye Clinic, is a healthcare organization registered as an optometrist in Salt Lake City, Utah and active in the NPI registry since November 2005. The organization lists Karri A Buresh, Owner/coe, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Berner Eye Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Berner Eye Clinic, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Berner Eye Clinic, Inc's NPI number?
The NPI number for Berner Eye Clinic, Inc is 1902889165. It was assigned to this organization in the NPPES registry on November 22, 2005. The provider is doing business as Broadway Eye Clinic.
Where is Berner Eye Clinic, Inc located?
Berner Eye Clinic, Inc is located at 250 E 300 S Ste 380, Salt Lake City, UT 84111. The listed phone number is (801) 322-0467.
What is Berner Eye Clinic, Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Berner Eye Clinic, Inc enrolled in Medicare?
Yes. Berner Eye Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Berner Eye Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Berner Eye Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Berner Eye Clinic, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Berner Eye Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Berner Eye Clinic, Inc was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Berner Eye Clinic, Inc · NPI 1902889165
Optometrist organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since November 22, 2005.
## Identity
- **NPI:** 1902889165 (Entity type: Organization)
- **Enumerated:** November 22, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Broadway Eye Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Karri Buresh, OWNER/COE
## Practice location
- **Address:** 250 E 300 S STE 380, Salt Lake City, UT 84111-2428
- **Phone:** (801) 322-0467 · **Fax:** (801) 363-6053
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2025
- **Other identifiers:** Medicaid 1027390 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1902889165) · Data from the CMS NPPES public registry.