BERKSHIRE EYE CENTER, P.C. (NPI# 1235293119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235293119 |
Entity Type | Organization |
Organization Name | BERKSHIRE EYE CENTER, P.C. |
Other Organization Name | KINDERHOOK EYE CENTER, P.C. |
Practice Address |
Route 9 Suite 402 Valatie NY 12184 |
Practice Telephone | 5187589286 |
Practice Fax Number | 5187587443 |
Mailing Telephone | 5187589286 |
Mailing Fax Number | 5187587443 |
Enumeration Date | 2006-12-21 |
Last Update Date | 2008-01-23 |
Authorized Official Name | DR. BRUCE G EVENCHIK (PRESIDENT) |
Authorized Official Telephone | 4134454564 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
Kinderhook Eye Center, P.C. | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255496030 | Berkshire Eye Center, P.C. | Eyewear Supplier (Equipment, not the service) | 342 Stockbridge Rd, Kmart Plaza, Great Barrington, MA 01230-1235 | 2006-12-22 |
1710993134 | Berkshire Eye Center, P.C. | Eyewear Supplier (Equipment, not the service) | 740 Williams St, Pittsfield, MA 01201-7463 | 2006-07-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | BERKSHIRE EYE CENTER, P.C. | 740 Williams St., Pittsfield, MA 01201 |
New York State Corporations | BERKSHIRE EYE CENTER, P.C. | 740 Williams Street, Pittsfield, Ma 01201 |
Street Address |
ROUTE 9 SUITE 402 |
City | VALATIE |
State | NY |
Zip Code | 12184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508428160 | Christopher Kennedy Jones | Nurse Practitioner | 2827 Rt 9, Valatie, NY 12184 | 2019-07-03 |
1740759760 | Diana Byerwalters | Specialist | 2910 State Farm Road, Valatie, NY 12184 | 2018-11-20 |
1366965097 | Stefani Rose Gagliardi | Prevention Professional | 4042 Route 203, North Chatham, NY 12184 | 2017-07-25 |
1972886000 | Mary Frances Faso | Registered Nurse | 2910 Us Route 9, Valatie, NY 12184 | 2011-09-26 |
1063791994 | Berkshire Eye Center | Optometrist | 2967 Route 9 Us, Valatie, NY 12184 | 2011-08-09 |
1558654004 | Balanced Health Acupuncture, PC | Acupuncturist | 3001 Main Street, Valatie, NY 12184 | 2011-05-17 |
1013100361 | Joseph M Hulett Sr. | Pharmacist | 2967 Rte 9, Valatie, NY 12184 | 2007-08-21 |
1811189202 | Stefanie L Ryan | Physical Therapist | 2827 Us Highway 9, Ocean State Job Lots Plaza, Valatie, NY 12184 | 2007-08-10 |
1609082502 | Cvs Albany, L.l.c | Durable Medical Equipment & Medical Supplies | 2982 Route 9, Valatie, NY 12184 | 2007-05-15 |
1295953248 | Columbia Dental Assoc. | Clinic/Center | 18 Wilderness Ln, Valatie, NY 12184 | 2007-04-23 |
Find all providers in zip 12184 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982202495 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 339 Gateway Dr, Brooklyn, NY 11239-2805 | 2020-10-16 |
1386242360 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 184 W 237th St, Bronx, NY 10463-4102 | 2020-10-13 |
1740888718 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 40 Graham Rd W, Ithaca, NY 14850-1055 | 2020-10-13 |
1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
1831797828 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 790 S Sunrise Hwy, Bellport, NY 11713-1557 | 2020-10-13 |
1407454481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Cir, Deer Park, NY 11729-7075 | 2020-10-13 |
1265030126 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 820-825 Pelham Pkwy, Pelham Manor, NY 10803 | 2020-10-13 |
1265030357 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 607 Old Country Rd, Riverhead, NY 11901-2103 | 2020-10-12 |
1356949598 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1752 Shore Pkwy, Brooklyn, NY 11214-6561 | 2020-10-10 |
1033717277 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Bellwood Dr, Rochester, NY 14606-4262 | 2020-10-10 |
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.