BERKELEY EYE INSTITUTE PA (NPI# 1215950308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215950308 |
| Entity Type | Organization |
| Organization Name | BERKELEY EYE INSTITUTE PA |
| Other Organization Name | BERKELEY EYE CENTER |
| Practice Address |
1013 South Wells Street Edna TX 77957-4098 |
| Mailing Address |
21502 Merchants Way Ste A Katy TX 77449-2515 |
| Practice Telephone | 3617825241 |
| Practice Fax Number | 3617827495 |
| Mailing Telephone | 2819442232 |
| Mailing Fax Number | 2819442290 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | MARK F MICHELETTI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2813484615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0072KD | 01 |
| TX | 158559801 | 05 |
| Other Name | Type Code |
|---|---|
| Berkeley Eye Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497778583 | Berkeley Eye Institute Pa | Optometrist | 2012 West Loop, El Campo, TX 77437-8030 | 2006-07-26 |
| 1922021096 | Berkeley Eye Institute Pa | Optometrist | 5350 S Staples, Suite 318, Corpus Christi, TX 78411 | 2006-07-26 |
| 1306869490 | Berkeley Eye Institute Pa | Optometrist | 2 Financial Plaza, Suite 801, Huntsville, TX 77340 | 2006-07-26 |
| 1366465437 | Berkeley Eye Institute Pa | Optometrist | 16200 City Walk Street, Sugar Land, TX 77479 | 2006-07-26 |
| 1417970500 | Berkeley Eye Institute Pa | Optometrist | 21502 Merchants Way Ste A, Katy, TX 77449-2515 | 2006-07-26 |
| 1447273388 | Berkeley Eye Institute Pa | Optometrist | 14030 Fm 2920 Rd Ste E, Tomball, TX 77377-5555 | 2006-07-25 |
| 1457374522 | Berkeley Eye Institute Pa | Optometrist | 902 Frostwood, Suite 256, Houston, TX 77024 | 2006-07-26 |
| 1578586665 | Berkeley Eye Institute Pa | Optometrist | 5419 Fm 1960 Rd W, Suite C, Houston, TX 77069-4305 | 2006-07-26 |
| 1669405338 | Berkeley Eye Institute Pa | Optometrist | 1200 Mckinney St Ste 411, Houston, TX 77010-2038 | 2006-07-08 |
| 1720011497 | Berkeley Eye Institute Pa | Eyewear Supplier (Equipment, not the service) | 22741 Professional Drive, Kingwood, TX 77339-6005 | 2006-07-08 |
| Street Address |
1013 SOUTH WELLS STREET |
| City | EDNA |
| State | TX |
| Zip Code | 77957-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124061882 | Jackson County Hospital District | General Acute Care Hospital | 1013 South Wells Street, Edna, TX 77957-4098 | 2006-06-13 |
| 1285666073 | Jackson County Hospital District | Durable Medical Equipment & Medical Supplies | 1013 South Wells Street, Edna, TX 77957-4098 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043399330 | Mchenry Lee | Dentist | 118 N Wells St, Edna, TX 77957 | 2006-11-06 |
| 1740377522 | Travis R Phillips | Dentist | 502 North Wells, Edna, TX 77957 | 2006-10-05 |
| 1952417123 | Dawn Rachelle Jalufka | Optometrist | 201 N Wells, Enda, TX 77957 | 2006-08-21 |
| 1033699699 | Kimberly Alvarado | Occupational Therapy Assistant | 1401 W Main St, Edna, TX 77957 | 2018-08-14 |
| 1255468948 | Jackson County Special Services Coop | Local Education Agency (LEA) | 606 Gilbert Street, Edna, TX 77957-0919 | 2007-02-28 |
| 1760455158 | Fmsc Edna Operating Company Lp | Skilled Nursing Facility | 1204 N Wells St, Edna, TX 77957-2149 | 2006-02-08 |
| 1063558526 | Care Inn of Edna LLC | Skilled Nursing Facility | 1204 N Wells St, Edna, TX 77957-2149 | 2007-01-30 |
| 1245760784 | Emilie Faucheu | Dentist | 1006 N Wells St, Edna, TX 77957-2153 | 2017-06-18 |
| 1801813076 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1002 N Wells St, Edna, TX 77957-2153 | 2006-07-16 |
| 1558317172 | Total Renal Care Texas Limited Partnership | Clinic/Center | 1008 N Wells St, Edna, TX 77957-2153 | 2006-05-25 |
| Find all providers in zip 77957 | ||||
| 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 |
|---|---|---|---|---|
| 1215537402 | Dr. Rachel Gelmans Vision P.a. | Ophthalmology | 5201 North G Street, Mcallen, TX 78504 | 2020-10-28 |
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1275180135 | Texas Eye Doctors, P.a. | Ophthalmology | 4501 Medical Center Dr Ste 300, Mckinney, TX 75069-6802 | 2019-08-23 |
| 1760036990 | Ward Dittmar Heinrich Jr. | Ophthalmology | 3295 Lockhill Selma Rd, San Antonio, TX 78230-3024 | 2019-07-25 |
| 1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
| 1487213872 | Mann Eye Center, Pa | Ophthalmology | 1530 Sun City Blvd Ste 150, Georgetown, TX 78633-5353 | 2019-06-10 |
| 1609432210 | J.w. Eye Associates, Pa | Ophthalmology | 11445 Dallas Pkwy Ste 290, Frisco, TX 75033-4257 | 2019-05-20 |
| 1376000737 | Nadim Sami Nassif | Ophthalmology | 5150 Hidalgo St Unit 403, Houston, TX 77056-6409 | 2019-02-21 |
| 1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
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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.