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Contact Information

BERKS EYE PHYSICIANS & SURGEONS LTD
1802 PAPERMILL RD
WYOMISSING, PA19610-1100
 Phone: 610-372-0712
 Fax: 610-376-6968
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BERKS EYE PHYSICIANS & SURGEONS LTD

NPI # 1548221302
LBN Legal business name BERKS EYE PHYSICIANS & SURGEONS LTD
Authorized official DOMENIC IZZO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2006
Last updated 03/14/2016 - About 10 years ago
Identifiers
PA Medicaid 1007703650007
PA Other 17367 AETNA
PA Other 4559911 AETNA
PA Other 073646 BLUE SHIELD
PA Other 03187200 CAPITAL BLUE CROSS
PA Other 0374260001 DMERC
PA Other 039403 HIGHMARK BLUE SHIELD
PA Other 0019737000 KEYSTONE HEALTH PLAN EAST
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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