Provider Demographics
NPI:1861490047
Name:BERKS FAMILY EYECARE P C
Entity Type:Organization
Organization Name:BERKS FAMILY EYECARE P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HORNBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-678-7202
Mailing Address - Street 1:247 E PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-1613
Mailing Address - Country:US
Mailing Address - Phone:610-678-7202
Mailing Address - Fax:610-678-9866
Practice Address - Street 1:247 E PENN AVE
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565-1613
Practice Address - Country:US
Practice Address - Phone:610-678-7202
Practice Address - Fax:610-678-9866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000172332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5835280001Medicare NSC