Organization Name: | BERKSHIRE EYE CENTER, P.C. |
NPI Number: | 1235293119 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE G EVENCHIK (PRESIDENT) |
Mailing Address: | Route 9 Suite 402 Valatie |
State: | NY US |
Postal Code: | 12184 |
Phone Number: | 5187589286 |
Fax Number: | 5187587443 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |