Organization
BERKELEY EYE INSTITUTE, PLLC
Active
Other names
Berkeley Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK F MICHELETTI (EXECUTIVE DIRECTOR)
(281) 348-4615
Entity
Organization
Contact information
Practice address
143 VISION PARK BLVD, SHENANDOAH, TX 77384-3001
(281) 363-3443
(936) 271-1351
Mailing address
143 VISION PARK BLVD, SHENANDOAH, TX 77384-3001
(281) 363-3443
(936) 271-1351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072KD
BLUE CROSS BLUE SHIELD
TX
05
—
158559801
—
TX
Enumeration date
07/29/2008
Last updated
03/31/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us