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Contact Information

BERKELEY EYE INSTITUTE, PLLC
2 FINANCIAL PLAZA
SUITE 801
HUNTSVILLE, TX77340
 Phone: 936-295-2020
 Fax: 936-295-4171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BERKELEY EYE INSTITUTE, PLLC

NPI # 1306869490
LBN Legal business name BERKELEY EYE INSTITUTE, PLLC
Authorized official MARK MICHELETTI - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2006
Last updated 03/31/2023 - About 3 years ago
Identifiers
TX Medicaid 158559801
TX Other 0072KD BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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