NPIMap

Organization Active NPI

Berkeley Eye Institute, PLLC

Doing business as Berkeley Eye Center

  • Ophthalmology Physician
  • Dayton, TX
National Provider Identifier
1346082872
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BERKELEY EYE INSTITUTE, PLLC
Doing business as
Berkeley Eye Center
Practice address
306 N Main St Ste a
Dayton, TX 77535-2635
Phone
(936) 258-0020
Fax
(936) 257-8111
NPI assigned
Jun 6, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Mark Micheletti
Title
Executive Director
Phone
(281) 348-4615

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

306 N Main St Ste a
Dayton, TX 77535-2635

Mailing address

306 N Main St Ste a
Dayton, TX 77535-2635
Phone (936) 258-0020

Other names 1

  • Berkeley Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115003763 TX DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 4082602156 Practice locations: Dayton, TX

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Berkeley Eye Center306 N Main St, Dayton, TX 77535-2635(936) 258-0020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jul 1, 2003

National Provider Directory

National Provider Directory
Tax ID family
Berkeley Eye Institute PLLC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

777 N Texas Blvd
Alice, TX 78332
Phone (361) 668-3937

6500 7th St
Ste 200
Bay City, TX 77414
Phone (979) 318-3204

1025 Birdsong Dr
Ste A
Baytown, TX 77521
Phone (281) 422-2020

4301 Garth Rd
Ste 100
Baytown, TX 77521
Phone (281) 422-2020

901 E Houston St
#B
Cleveland, TX 77327
Phone (281) 659-2020

306 N Main St
Ste A
Dayton, TX 77535
Phone (936) 258-0020

1256 N Mechanic St
El Campo, TX 77437
Phone (713) 526-1600

1046A Hercules Ave
Houston, TX 77058
Phone (281) 316-8400

4444 FM 1960 Rd W
Ste 12B
Houston, TX 77068
Phone (281) 894-2020

500 Dallas St
Ste P60
Houston, TX 77002
Phone (713) 759-9449

7430 Harrisburg Blvd
Houston, TX 77011
Phone (713) 928-2796

902 Frostwood Dr
Ste 256
Houston, TX 77024
Phone (713) 341-2100

262 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 319-4334

707 S Fry Rd
Ste 400
Katy, TX 77450
Phone (713) 526-1600

1016 S 14th St
Kingsville, TX 78363
Phone (361) 592-4744

22741 Professional Dr
Ste A
Kingwood, TX 77339

3929 Woodsons Reserve Pkwy
Spring, TX 77386
Phone (346) 423-6443

16200 City Walk
Sugar Land, TX 77479
Phone (281) 265-2000

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1346082872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST STE A",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352635",
            "telephone_number": "936-258-0020",
            "fax_number": "936-257-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST STE A",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352635",
            "telephone_number": "936-258-0020",
            "fax_number": "936-257-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY EYE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "MICHELETTI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-348-4615"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berkeley Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.