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Organization

BERKS FAMILY EYECARE P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY ANN MILLER (OFFICE MANAGER)
(610) 678-7202
Entity
Organization

Contact information

Practice address
247 E PENN AVE, WERNERSVILLE, PA 19565-1613
(610) 678-7202
(610) 678-9866
Mailing address
247 E PENN AVE, WERNERSVILLE, PA 19565-1613
(610) 678-7202
(610) 678-9866

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000172
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG000172
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001919333
HIGHMARK BLUE SHIELD
01
02667300
CAPITAL BLUE CROSS
PA
01
3761630
AETNA
PA
01
806T
GEISINGER
01
DG1504
RAILROAD MEDICARE
Enumeration date
06/22/2005
Last updated
06/24/2021
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