Provider Demographics
NPI:1962411520
Name:VALLEY EYE CENTER REAL ESTATE VENTURE IN TEXAS
Entity type:Organization
Organization Name:VALLEY EYE CENTER REAL ESTATE VENTURE IN TEXAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-423-2800
Mailing Address - Street 1:1205 N ED CAREY DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-9207
Mailing Address - Country:US
Mailing Address - Phone:956-423-2800
Mailing Address - Fax:956-423-2485
Practice Address - Street 1:1205 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-9207
Practice Address - Country:US
Practice Address - Phone:956-423-2800
Practice Address - Fax:956-423-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0468140003Medicare ID - Type Unspecified