| NPI | 1255338612 |
|---|---|
| Doing Business As | BERKELEY EYE CENTER CLEAR LAKE |
| Entity Type | Organization |
| Authorized Contact | MARK F MICHELETTI Executive Director 713-526-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-11-28 |