Organization
BERKELEY EYE INSTITUTE, PLLC
Active
Other names
Berkeley Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MICHELETTI (EXECUTIVE DIRECTOR)
(281) 348-4615
Entity
Organization
Contact information
Practice address
306 N MAIN ST STE A, DAYTON, TX 77535-2635
(936) 258-0020
(936) 257-8111
Mailing address
306 N MAIN ST STE A, DAYTON, TX 77535-2635
(936) 258-0020
(936) 257-8111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
06/06/2024
Last updated
10/04/2024
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