Organization
BERKELEY EYE INSTITUTE, PLLC
Active
Other names
Berkeley Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MICHELETTI (EXECUTIVE OFFICER)
(281) 348-4615
Entity
Organization
Contact information
Practice address
117 CIRCLE WAY ST, LAKE JACKSON, TX 77566-5233
(979) 297-4042
(979) 297-4686
Mailing address
22741 PROFESSIONAL DR, KINGWOOD, TX 77339-6005
(281) 944-2232
(281) 944-2290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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