Individual ProviderMark Daniel BerryStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressDepartment Of Ophthalmology 3601 4th St, Lubbock, TX 79430-0001(806) 743-2020PECOS EnrollmentBased on the most recent information from CMS, provider Mark Daniel Berry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1639817497Provider TypeIndividualFull NameBerry, Mark DanielGenderMaleSole ProprietorNoEnumeration Date5/23/2022Last Updated5/18/2023Contact InformationPractice LocationPractice AddressDepartment Of Ophthalmology 3601 4th St, Lubbock, TX 79430-0001Phone(806) 743-2020FaxUnlisted FaxMailing LocationMailing AddressDepartment Of Ophthalmology 3601 4th St, Lubbock, TX 79430-0001Phone(806) 743-2020FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10080216Texas