Individual provider Active NPI

Christopher James Berkely, O.D.

  • Optometrist
  • New Castle, PA
National Provider Identifier
1043572704
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002595 Issued in PA
Practice address
142 Enclave Dr
New Castle, PA 16105-3208
Phone
(724) 658-1781
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002595 PA Primary

Addresses

Primary practice location

142 Enclave Dr
New Castle, PA 16105-3208

Mailing address

142 Enclave Dr
New Castle, PA 16105-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140304000441 PA Practitioner - Optometry 2769612118 Reassigns benefits to 1 organization
I20160527000343 SC Practitioner - Optometry 2769612118

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkely Eye Associates, LLCGroup PAC ID 3678754397, 3 clinicians

Practice addresses (Care Compare)

142 Enclave Dr
New Castle, PA 16105-3208
Phone (724) 658-1781

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of SC LLC Optometrist CurrentSince Mar 22, 2016 Accepting new patients
Berkely Eye Associates, LLC Optometrist CurrentSince Dec 28, 2013 Accepting new patients

Locations

142 Enclave Dr
New Castle, PA 16105
Phone (724) 658-1781

8409 Dorchester Rd
Ste 105
North Charleston, SC 29420
Phone (843) 619-7234

717 Trolley Rd
Ste 3
Summerville, SC 29485
Phone (843) 873-1889

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1043572704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ENCLAVE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ENCLAVE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053208",
            "telephone_number": "724-658-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKELY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.