# BELLEVUE EYE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699267146
- **Authorized official:** MS. RACHEL ERICKSON (BILLING COORDINATOR)
- **Authorized official phone:** (510) 679-3363

## Contact information

- **Practice address:** 1936 UNIVERSITY AVE STE 112, BERKELEY, CA 94704-1003
- **Practice address phone:** (510) 488-6767
- **Practice address fax:** (510) 488-6766
- **Mailing address:** 1936 UNIVERSITY AVE STE 112, BERKELEY, CA 94704-1003
- **Mailing address phone:** (510) 488-6767
- **Mailing address fax:** (510) 488-6766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A87857 | CA | Yes |

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 06/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1699267146 | — | CA |