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General NPI Number Information
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NPI Number | 1457374522
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Entity Type | Organization
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Legal Business Name | BERKELEY EYE INSTITUTE, PLLC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1315 W GRAND PKWY S STE 106
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City | KATY
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State | TX
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Zip | 77494-8290
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Country | US
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Telephone | 346-585-2020
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Fax | 281-800-8321
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Provider Business Mailing Address
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Address Line | 22741 PROFESSIONAL DR
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City | KINGWOOD
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State | TX
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Zip | 77339-6005
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Country | US
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Telephone | 281-944-2232
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Fax | 281-944-2290
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AUSTIN BIRD
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Credential |
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Telephone | 281-348-4620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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