Organization
BERRY EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HUDDLESTON (PRACTICE MANAGER)
(817) 484-2020
Entity
Organization
Contact information
Practice address
2790 SW WILSHIRE BLVD, BURLESON, TX 76028
(817) 447-3363
Mailing address
2790 SW WILSHIRE BLVD, BURLESON, TX 76028
(817) 484-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L5249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0833057
CIGNA
—
Enumeration date
07/04/2009
Last updated
03/25/2026
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