Active NPI
Alan M Berman, O.D.
- Optometrist
- Ridgefield, CT
National Provider Identifier
1114913340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 000954
- Practice address
- 96 Danbury Rd
Ridgefield, CT 06877-4069 - Phone
- (203) 438-5855
- Fax
- (203) 431-0318
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000954 | CT | Primary |
Addresses
Primary practice location
96 Danbury Rd
Ridgefield, CT 06877-4069
Mailing address
96 Danbury Rd
Ridgefield, CT 06877-4069
Phone (203) 438-5855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091022000094 | CT | Practitioner - Optometry | 4385781715 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000954 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgefield Family Eye Care PC | Optometrist | Current | Accepting new patients |
Locations
96 Danbury Rd
Ridgefield, CT 06877
Phone (203) 438-0874
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1114913340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 DANBURY RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774069",
"telephone_number": "203-438-5855",
"fax_number": "203-431-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 DANBURY RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774069",
"telephone_number": "203-438-5855",
"fax_number": "203-431-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "ALAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "000954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.