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Organization
BERKSHIRE EYE CENTER, P.C.
Active
Organization
BERKSHIRE EYE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE G. EVENCHIK M.D. (PRESIDENT)
(413) 445-4564
Entity
Organization
Contact information
Practice address
342 STOCKBRIDGE RD, KMART PLAZA, GREAT BARRINGTON, MA 01230-1235
(413) 528-8911
(413) 528-2711
Mailing address
342 STOCKBRIDGE RD, KMART PLAZA, GREAT BARRINGTON, MA 01230-1235
(413) 528-8911
(413) 528-2711
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9774017
—
MA
01
—
I22279
MEDICARE PIN-DR EVENCHIK
MA
01
—
J03513
MEDICARE PIN DR S
MA
01
—
J09851
MEDICARE PIN DR O
MA
01
—
J27719
MEDICARE PIN DR GINSBERG
MA
01
—
W16093
MEDICARE PIN DR G
MA
Enumeration date
12/22/2006
Last updated
02/28/2008
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