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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
6500 7TH ST STE 200, BAY CITY, TX 77414-1201
(979) 318-3204
(979) 318-3208
Mailing address
21502 MERCHANTS WAY STE A, KATY, TX 77449-2515
(281) 944-2232
(281) 944-2290

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158559801
TX
Enumeration date
08/10/2020
Last updated
03/31/2023
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