Berkshire Eye Surgery Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

15291501 Issued in PA

Legal business name

BERKSHIRE EYE SURGERY CENTER LP

Practice address

2220 Ridgewood Rd
Wyomissing, PA 19610-1167

Phone

(610) 736-0144

Fax

(610) 736-0926

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Domenic C Izzo Jr., M.D.

Title

Medical Director

Phone

(610) 736-0144

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francisco L Tellez, M.D.

  • Ophthalmology Physician
  • Wyomissing, PA
  • NPI 1285624684
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1154325686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 RIDGEWOOD RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101167",
            "telephone_number": "610-736-0144",
            "fax_number": "610-736-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 RIDGEWOOD RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101167",
            "telephone_number": "610-736-0144",
            "fax_number": "610-736-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE EYE SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "IZZO",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-736-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "15291501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berks Plastic Surgery Institute PC
• Berks Therapeutic Alliance
• Berkshire Allergy & Asthma Center, Inc
• Berkshire Da, PLLC
• Berkshire Dental Associates, LTD.
• Berkshire Eye, LLC
• Berkshire Family Medicine, PC
• Berkshire Orthopedic Associates, Inc.
• Berkshire Orthopedics LLC
• Berkshire Orthopedics LLC

• Ambulatory Surgical Clinic/Center in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.