1. Home
  2. Directory
  3. Texas
  4. Shenandoah
  5. Ophthalmology
  6. NPI Profile

BERKELEY EYE CENTER
NPI 1306002407
Ophthalmology in Shenandoah, TX

Active since July 29, 2008CLIA 45D2326167 · Waiver
143 VISION PARK BLVD, SHENANDOAH, TX 77384(281) 363-3443(936) 271-1351 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2023, Oct 6, 2022, Aug 10, 2020 (3 updates tracked since 2020).

About Berkeley Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERKELEY EYE CENTER (NPI 1306002407) is a healthcare organization registered as an ophthalmology in Shenandoah, Texas and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Mark F Micheletti, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306002407
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBERKELEY EYE INSTITUTE, PLLC
Location Address143 VISION PARK BLVDShenandoah, TX 77384-3001
Mailing Address143 Vision Park BlvdShenandoah, TX 77384-3001 · (281) 363-3443 · Fax (936) 271-1351
Phone(281) 363-3443
Fax(936) 271-1351
Organization SubpartNo
Authorized OfficialMark F MichelettiExecutive Director · (281) 348-4615
Enumeration DateJuly 29, 2008
Last NPPES UpdateMarch 31, 20233 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
✔ NPI 1306002407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
Also ListedEyewear SupplierTaxonomy 332H00000X
143 VISION PARK BLVD, Shenandoah, TX 77384
Open in Google Maps ↗

Other Names 1

Doing Business AsBerkeley Eye Center

Other Identifiers 2

Other0072KDTX · Blue Cross Blue Shield
Medicaid158559801TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2326167

Berkeley Eye Center · The Woodlands, TX
Active · expires Jun 26, 2027
CLIA Number45D2326167
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorMatthew B. Mccauley
Laboratory Phone(713) 620-7640
Laboratory LocationBerkeley Eye Center143 Vision Park Blvd, The Woodlands, TX 77384
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Berkeley Eye Center carries, from the Medicare DMEPOS supplier directory.

Berkeley Eye Center

DMEPOS supplier · Shenandoah, TXOperated by Berkeley Eye Institute PLLC
✔

Accepts Medicare assignment

Berkeley Eye Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20599919
Medicare Participant SinceJuly 1, 2003
Supplier Location143 Vision Park BlvdShenandoah, TX 77384
Phone(281) 363-3443
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW B MCCAULEY M.D.
Ophthalmology
143 VISION PARK BLVD
SHENANDOAH, TX 77384
Montgomery County (281) 363-3443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Berkeley Eye Institute, PLLC's NPI number?

The NPI number for Berkeley Eye Institute, PLLC is 1306002407. It was assigned to this organization in the NPPES registry on July 29, 2008. The provider is doing business as Berkeley Eye Center.

Where is Berkeley Eye Institute, PLLC located?

Berkeley Eye Institute, PLLC is located at 143 Vision Park Blvd, Shenandoah, TX 77384. The listed phone number is (281) 363-3443.

What is Berkeley Eye Institute, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Berkeley Eye Institute, PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Berkeley Eye Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Berkeley Eye Institute, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2326167) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Berkeley Eye Institute, PLLC was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.