Active NPI
Berkshire Eye, LLC
- Ambulatory Surgical Clinic/Center
- Wyomissing, PA
National Provider Identifier
1861905176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BERKSHIRE EYE, LLC
- Practice address
- 2220 Ridgewood Rd
Wyomissing, PA 19610-1167 - Phone
- (972) 763-3893
- Fax
- (972) 692-6745
- NPI assigned
- Nov 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Bailey
- Title
- Officer / Authorized Offcial
- Phone
- (203) 609-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2220 Ridgewood Rd
Wyomissing, PA 19610-1167
Mailing address
14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (469) 893-2500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180220001513 | PA | Part B Supplier - Ambulatory Surgical Center | 3476814153 | Practice locations: Wyomissing, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Berkshire Eye LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1518967231
Member Of
-
dba Baptist Health System
- Psychiatric Hospital Unit
- San Antonio, TX
- NPI 1487633509
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1861905176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 DALLAS PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752542916",
"telephone_number": "469-893-2500",
"fax_number": "504-322-3284"
},
{
"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": "972-763-3893",
"fax_number": "972-692-6745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKSHIRE EYE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-08",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFCIAL",
"authorized_official_telephone_number": "203-609-1168"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wyomissing, PA
- Berks Therapeutic Alliance
- Berkshire Allergy & Asthma Center, Inc
- Berkshire Da, PLLC
- Berkshire Dental Associates, LTD.
- Berkshire Eye Surgery Center LP
- Berkshire Family Medicine, PC
- Berkshire Orthopedic Associates, Inc.
- Berkshire Orthopedics LLC
- Berkshire Orthopedics LLC
- Berkshire Podiatry Center, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.