NPI | 1073702619 |
---|---|
Doing Business As | BERKELEY EYE CENTER |
Entity Type | Organization |
Authorized Contact | MARK MICHELETTI Executive Director 281-348-4615 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2007-10-19 |
Last Update Date | 2023-03-31 |