Berkeley Eye Institute, P.a., NPI 1306002407
Ophthalmology Physician in Shenandoah, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306002407
NPI Entity Type Organization
Provider Name Berkeley Eye Institute, P.a.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 143 Vision Park Blvd, Shenandoah, TX, US
Provider Mailing Address 143 Vision Park Blvd, Shenandoah, TX, US, 773843001
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. Mark F Micheletti
Official Position EXECUTIVE DIRECTOR
Phone 281-348-4615

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207W00000X

Taxonomy Name Ophthalmology Physician
Classification

Ophthalmology

Group

Allopathic & Osteopathic Physicians

Description An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Other Organization Name

Berkeley Eye Center
Doing Business As

Business Address

Berkeley Eye Institute, P.a.
143 Vision Park Blvd

Shenandoah, TX, US

Phone: 281-363-3443
Fax: 936-271-1351

Mailing Address

Berkeley Eye Institute, P.a.
143 Vision Park Blvd
Shenandoah, TX, US
ZIP 773843001
Phone: 281-363-3443
Fax: 936-271-1351

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

152W00000X

Eye and Vision Services Providers

Optometrist

No

332H00000X

Suppliers

Eyewear Supplier

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0072KD TX BLUE CROSS BLUE SHIELD 01
158559801 TX MEDICAID 05

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