| NPI | 1982462644 |
|---|---|
| Doing Business As | BERKELEY EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK MICHELETTI Executive Officer 281-348-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |