BERKELEY EYE LIBERTY, LP (NPI# 1205832649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205832649 |
| Entity Type | Organization |
| Organization Name | BERKELEY EYE LIBERTY, LP |
| Practice Address |
811 N Travis St Liberty TX 77575-3531 |
| Mailing Address |
22741 Professional Dr Kingwood TX 77339-6005 |
| Practice Telephone | 9362580020 |
| Mailing Telephone | 2819442232 |
| Mailing Fax Number | 2819442290 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | DR. DAVID B BEELER (PARTNER) |
| Authorized Official Telephone | 9362580020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 164910501 | 05 |
| Street Address |
811 N TRAVIS ST |
| City | LIBERTY |
| State | TX |
| Zip Code | 77575-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1003285156 | Divine Garden Transportation | Non-emergency Medical Transport (VAN) | 450 Mlking Dr., Liberty, TX 77575 | 2015-09-18 |
| 1689895799 | Allen R. Griffin | Eyewear Supplier (Equipment, not the service) | 2718 B N. Main St., Liberty, TX 77575 | 2007-05-02 |
| 1548362395 | Hsmtx/liberty, LLC | Skilled Nursing Facility | 1206 N Travis St, Liberty, TX 77575 | 2006-09-02 |
| 1699877530 | Lessie Frank | Licensed Vocational Nurse | 612 Highway 90, Liberty, TX 77575 | 2006-09-01 |
| 1588601827 | Trudy Poor Britz | Nurse Practitioner | 1807 Rampart, League, TX 77575 | 2006-06-02 |
| 1285680033 | Faresh Mehta | Optometrist | 2121 Hwy 146 Bypass, Liberty, TX 77575 | 2006-05-25 |
| 1922455781 | Bassam A. Hamid M.d.,p.a. Urgent Care/primarycare | Clinic/Center | 608 Travis, Liberty, TX 77575 | 2016-05-20 |
| 1508887241 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2006-07-21 |
| 1528581220 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2017-07-25 |
| Find all providers in zip 77575 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073616660 | Kathryn A Hembree | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2006-09-07 |
| 1164423448 | Theodore N Isseks | Ophthalmology | 5518 State Route 55, Liberty, NY 12754 | 2005-08-09 |
| 1417390584 | Christy Marie Harvey | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2013-04-09 |
| 1639437627 | Brett Mcknight | Ophthalmology | 515 N State Route 291, Liberty, MO 64068-1045 | 2012-04-26 |
| 1215206628 | Theodore N. Isseks, M.d., P.C. | Ophthalmology | 5518 State Route 55, Liberty, NY 12754-2830 | 2011-12-14 |
| 1639481492 | Dustin Mcknight | Ophthalmology | 515 N State Route 291, Liberty, MO 64068 | 2010-07-09 |
| 1720255060 | Theodore N Isseks Md PC | Ophthalmology | 5518 State Route 55, Liberty, NY 12754 | 2008-05-15 |
| 1912199159 | Audrey Deanne Blacklock | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2007-08-13 |
| 1518054196 | Northland Eye Specialists PC | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2006-10-06 |
| 1861595464 | Susan M Carney | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2006-09-07 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.