Organization Active NPI

Berry Eye Center PA

  • Ophthalmology Physician
  • Burleson, TX
National Provider Identifier
1891924452
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L5249 Issued in TX
Legal business name
BERRY EYE CENTER PA
Practice address
2790 SW Wilshire Blvd
Burleson, TX 76028
Phone
(817) 447-3363
NPI assigned
Jul 4, 2009
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Miranda Huddleston
Title
Practice Manager
Phone
(817) 484-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L5249 TX Primary

Addresses

Primary practice location

2790 SW Wilshire Blvd
Burleson, TX 76028

Mailing address

2790 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 484-2020

Other identifiers 1

IdentifierTypeStateIssuer
0833057OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091105000632 TX Part B Supplier - Clinic/Group Practice 1254479538 Receives reassigned benefits from 4 practitioners
Practice locations: Burleson, TX; Cleburne, TX
O20180208002129 TX DME Supplier - Physician - Ophthalmology 1254479538 Practice locations: Burleson, TX

National Provider Directory

National Provider Directory

Locations

2790 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 447-3363

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1891924452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-484-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-447-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-04",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "817-484-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L5249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0833057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.