BERKELEY EYE INSTITUTE PLLC NPI 1306002407

NPI Information

NPI: 1306002407
Provider Name: BERKELEY EYE INSTITUTE, PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Doing Business As: BERKELEY EYE CENTER
CLIA Number: 45D2326167
Address: 143 VISION PARK BLVD
SHENANDOAH, TX
ZIP 77384
Phone: (281) 363-3443

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NPI Details

BERKELEY EYE INSTITUTE, PLLC is an ophthalmology in Shenandoah, TX. The provider is 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. BERKELEY EYE INSTITUTE, PLLC NPI is 1306002407. The provider is registered as an organization entity type.
The provider Is Doing Business As Berkeley Eye Center.

The provider's business location address is:

143 VISION PARK BLVD
SHENANDOAH, TX
ZIP 77384-001
Phone: (281) 363-3443
Fax: (936) 271-1351

The provider's authorized official is Mark F Micheletti .
The authorized official title is Executive Director and has the following contact phone number (281) 348-4615.

The CLIA number assigned to this NPI record is 45D2326167 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 3/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	332H00000X	Eyewear Supplier	No
2	152W00000X	Optometrist	No
3	207W00000X	Ophthalmology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0072KD	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	158559801	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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