Organization
BELLEVUE EYE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL ERICKSON (BILLING COORDINATOR)
(510) 679-3363
Entity
Organization
Contact information
Practice address
1936 UNIVERSITY AVE STE 112, BERKELEY, CA 94704-1003
(510) 488-6767
(510) 488-6766
Mailing address
1936 UNIVERSITY AVE STE 112, BERKELEY, CA 94704-1003
(510) 488-6767
(510) 488-6766
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A87857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699267146
—
CA
Enumeration date
05/31/2018
Last updated
06/22/2020
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